Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $23.34 / $216.01	Facility		$20.94	$23.34	$216.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $23.34 / $26.80	Professional		$21.46	$23.34	$26.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.76 / $145.33 / $260.02	Facility		$55.76	$145.33	$260.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $32.00 / $56.00	Professional		$29.92	$32.00	$56.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.38 / $86.75 / $179.77	Facility		$54.38	$86.75	$179.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $23.32 / $42.85	Professional		$17.23	$23.32	$42.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $31.32 / $43.85	Facility		$21.57	$31.32	$43.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $32.10 / $41.00	Professional		$18.00	$32.10	$41.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $16.46 / $23.70	Professional		$16.46	$16.46	$23.70
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $17.95 / $35.90	Professional		$12.57	$17.95	$35.90