Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $28.52 / $173.40	Facility		$25.59	$28.52	$173.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $31.81	Professional		$28.52	$28.52	$31.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $231.18 / $385.28	Facility		$115.72	$231.18	$385.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $100.00 / $142.00	Professional		$36.56	$100.00	$142.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.43 / $105.97 / $298.29	Facility		$66.43	$105.97	$298.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $35.39 / $52.66	Professional		$18.57	$35.39	$52.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $54.33 / $110.43	Facility		$28.52	$54.33	$110.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $80.87 / $103.00	Professional		$62.00	$80.87	$103.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $20.11 / $28.96	Professional		$20.11	$20.11	$28.96
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $27.08 / $78.88	Professional		$15.36	$27.08	$78.88