Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $56.52 / $148.05	Facility		$24.73	$56.52	$148.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $28.26 / $32.03	Professional		$27.56	$28.26	$32.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $70.36 / $150.77	Facility		$30.85	$70.36	$150.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $41.00 / $52.75	Professional		$35.33	$41.00	$52.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $102.40 / $213.35	Facility		$64.20	$102.40	$213.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $22.12 / $50.59	Professional		$17.91	$22.12	$50.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $29.16 / $65.59	Facility		$20.83	$29.16	$65.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.97 / $28.00	Professional		$18.00	$21.97	$28.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $19.43 / $27.98	Professional		$19.43	$19.43	$27.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $17.71 / $42.40	Professional		$10.50	$17.71	$42.40