Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $212.50 / $250.13	Facility		$6.05	$212.50	$250.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.74	Professional		$6.05	$6.05	$6.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $46.03 / $82.73	Facility		$22.92	$46.03	$82.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.75 / $16.19	Professional		$6.00	$7.75	$16.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $22.48 / $47.41	Facility		$14.09	$22.48	$47.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $4.93 / $11.36	Professional		$3.94	$4.93	$11.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $8.94 / $15.16	Facility		$6.05	$8.94	$15.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $11.10 / $15.00	Professional		$4.00	$11.10	$15.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $6.14	Professional		$4.26	$4.26	$6.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $4.65 / $10.83	Professional		$3.26	$4.65	$10.83