Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $15.93 / $96.85	Facility		$14.01	$15.93	$96.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $16.34 / $18.37	Professional		$15.93	$16.34	$18.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $76.06 / $142.88	Facility		$34.83	$76.06	$142.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.92 / $33.88	Professional		$20.42	$27.92	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $59.18 / $122.48	Facility		$37.10	$59.18	$122.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $12.76 / $29.43	Professional		$10.35	$12.76	$29.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $18.38 / $37.85	Facility		$14.29	$18.38	$37.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $23.00 / $30.87	Professional		$17.19	$23.00	$30.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $16.17	Professional		$11.23	$11.23	$16.17
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.25 / $28.53	Professional		$8.58	$12.25	$28.53