Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $45.24 / $275.06	Facility		$33.99	$45.24	$275.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $45.24 / $50.46	Professional		$45.24	$45.24	$50.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.37 / $301.00 / $514.78	Facility		$120.37	$301.00	$514.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $60.00 / $146.00	Professional		$58.00	$60.00	$146.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $83.12	Professional		$66.48	$66.48	$83.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $66.95 / $113.43	Facility		$45.24	$66.95	$113.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $83.06 / $106.00	Professional		$64.00	$83.06	$106.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $31.90 / $45.94	Professional		$31.90	$31.90	$45.94
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $39.46 / $81.02	Professional		$24.36	$39.46	$81.02