Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $19.66 / $119.53	Facility		$15.05	$19.66	$119.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $19.66 / $21.93	Professional		$19.66	$19.66	$21.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $96.29 / $161.97	Facility		$48.20	$96.29	$161.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $33.00 / $59.00	Professional		$25.21	$33.00	$59.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.83 / $73.09 / $152.11	Facility		$45.83	$73.09	$152.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $14.80 / $36.14	Professional		$12.00	$14.80	$36.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $27.19 / $46.06	Facility		$19.66	$27.19	$46.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $33.72 / $43.00	Professional		$26.00	$33.72	$43.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $13.87 / $19.97	Professional		$13.87	$13.87	$19.97
United Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $25.21 / $25.21	Facility		$22.69	$25.21	$25.21
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $15.13 / $32.90	Professional		$10.59	$15.13	$32.90