Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $141.40 / $219.90	Facility		$15.85	$141.40	$219.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.71 / $18.43	Professional		$15.85	$17.71	$18.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $139.02 / $275.85	Facility		$36.71	$139.02	$275.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $35.00 / $51.00	Professional		$20.32	$35.00	$51.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $58.92 / $122.48	Facility		$36.94	$58.92	$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 $15.85 / $23.46 / $39.75	Facility		$15.85	$23.46	$39.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $29.10 / $37.00	Professional		$22.00	$29.10	$37.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $16.09	Professional		$11.18	$11.18	$16.09
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.60 / $28.39	Professional		$8.52	$12.60	$28.39