Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.58 / $27.39 / $166.53	Facility		$24.58	$27.39	$166.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $27.39 / $30.55	Professional		$27.39	$27.39	$30.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $64.76 / $107.85	Facility		$37.47	$64.76	$107.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $35.11 / $48.01	Professional		$35.11	$35.11	$48.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.80 / $88.78 / $200.18	Facility		$63.80	$88.78	$200.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $15.78 / $50.59	Professional		$10.52	$15.78	$50.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $27.39 / $36.86	Facility		$18.54	$27.39	$36.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $18.54 / $24.64	Professional		$18.54	$18.54	$24.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $27.81	Professional		$19.30	$19.30	$27.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $17.55 / $40.79	Professional		$10.50	$17.55	$40.79