Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $60.72 / $369.18	Facility		$16.35	$60.72	$369.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $64.05 / $78.06	Professional		$54.02	$64.05	$78.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $181.23 / $305.41	Facility		$104.04	$181.23	$305.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $14.39 / $499.79	Facility		$4.59	$14.39	$499.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $43.05 / $105.71	Professional		$28.62	$43.05	$105.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $75.67 / $126.57	Facility		$52.74	$75.67	$126.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $75.67 / $190.00	Professional		$75.67	$75.67	$190.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $38.35 / $55.86	Professional		$25.91	$38.35	$55.86