Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $208.30 / $684.47	Facility		$49.50	$208.30	$684.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.93 / $20.98	Professional		$17.23	$17.93	$20.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $63.37 / $108.96	Facility		$31.61	$63.37	$108.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $42.00 / $50.82	Professional		$23.57	$42.00	$50.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $68.33 / $142.22	Facility		$42.83	$68.33	$142.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.44 / $34.07	Professional		$10.68	$12.44	$34.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $21.47 / $36.84	Facility		$17.68	$21.47	$36.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.23 / $28.00	Professional		$15.00	$19.23	$28.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $18.67	Professional		$12.96	$12.96	$18.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.14 / $28.28	Professional		$9.90	$14.14	$28.28