Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $15.09 / $91.75	Facility		$8.33	$15.09	$91.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.48 / $18.38	Professional		$15.09	$15.48	$18.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.69 / $116.31 / $217.88	Facility		$52.69	$116.31	$217.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $42.00 / $54.54	Professional		$19.35	$42.00	$54.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $56.11 / $116.55	Facility		$35.17	$56.11	$116.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.11 / $27.88	Professional		$9.86	$12.11	$27.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $22.34 / $37.86	Facility		$15.09	$22.34	$37.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $27.72 / $36.00	Professional		$21.00	$27.72	$36.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $10.64 / $15.33	Professional		$10.64	$10.64	$15.33
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.17 / $27.05	Professional		$8.13	$13.17	$27.05