Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.90 / $249.28 / $418.12	Facility		$53.90	$249.28	$418.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $25.92 / $29.59	Professional		$23.03	$25.92	$29.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.91 / $84.13 / $136.94	Facility		$47.91	$84.13	$136.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.06	Professional		$50.00	$50.00	$70.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $6.14 / $142.40	Facility		$2.13	$6.14	$142.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.03 / $39.75	Professional		$11.75	$17.03	$39.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $19.73 / $34.99	Facility		$10.52	$19.73	$34.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $20.60 / $24.29	Professional		$14.70	$20.60	$24.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $44.10	Professional		$42.00	$42.00	$44.10
United Facility/Professional Facility Modifier Low / Median / High Price $146.47 / $149.16 / $157.25	Facility		$146.47	$149.16	$157.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $16.37 / $42.42	Professional		$10.30	$16.37	$42.42