Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $127.39 / $206.04	Facility		$20.90	$127.39	$206.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $23.88 / $27.07	Professional		$23.28	$23.88	$27.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $155.65 / $254.79	Facility		$82.94	$155.65	$254.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $31.34 / $60.00	Professional		$29.85	$31.34	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.24 / $86.52 / $179.77	Facility		$54.24	$86.52	$179.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $18.72 / $42.85	Professional		$15.12	$18.72	$42.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $34.46 / $58.39	Facility		$23.28	$34.46	$58.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $40.78 / $55.00	Professional		$31.00	$40.78	$55.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $16.42 / $23.64	Professional		$16.42	$16.42	$23.64
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $20.30 / $53.73	Professional		$12.54	$20.30	$53.73