Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $14.77 / $89.80	Facility		$6.67	$14.77	$89.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $14.77 / $16.47	Professional		$14.77	$14.77	$16.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.79 / $130.50	Facility		$38.90	$77.79	$130.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $25.89 / $48.00	Professional		$18.93	$25.89	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $54.86 / $114.58	Facility		$34.39	$54.86	$114.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.91 / $27.36	Professional		$9.52	$11.91	$27.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $21.86 / $37.04	Facility		$14.77	$21.86	$37.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $27.13 / $35.00	Professional		$21.00	$27.13	$35.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $10.41 / $14.99	Professional		$10.41	$10.41	$14.99
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $11.36 / $26.46	Professional		$7.95	$11.36	$26.46