Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $50.07 / $304.43	Facility		$44.93	$50.07	$304.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $50.07 / $55.85	Professional		$50.07	$50.07	$55.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.28 / $176.52 / $422.32	Facility		$99.28	$176.52	$422.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $47.83 / $79.86	Professional		$45.00	$47.83	$79.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.65 / $156.79 / $365.97	Facility		$116.65	$156.79	$365.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $29.25 / $146.10	Professional		$18.55	$29.25	$146.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $50.07 / $67.40	Facility		$34.27	$50.07	$67.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $40.79	Professional		$40.79	$40.79	$40.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $50.84	Professional		$35.29	$35.29	$50.84
United Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $57.77 / $77.03	Facility		$57.77	$57.77	$77.03
United Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $36.61 / $64.19	Professional		$20.39	$36.61	$64.19