Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $84.26 / $201.43	Facility		$42.13	$84.26	$201.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $84.26	Professional		$42.13	$42.13	$84.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $52.24 / $79.16	Facility		$42.13	$52.24	$79.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $59.21	Professional		$40.00	$40.00	$59.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $103.77 / $240.18	Facility		$49.63	$103.77	$240.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $42.13 / $60.50	Professional		$21.11	$42.13	$60.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $42.13 / $50.56	Facility		$39.61	$42.13	$50.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $42.13 / $44.23	Professional		$23.17	$42.13	$44.23
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $25.28 / $50.56	Professional		$17.69	$25.28	$50.56