Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $115.50 / $123.45	Facility		$22.56	$115.50	$123.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $23.80 / $29.00	Professional		$20.05	$23.80	$29.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $85.04 / $136.94	Facility		$50.19	$85.04	$136.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $5.35 / $124.37	Facility		$1.71	$5.35	$124.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $15.39 / $37.60	Professional		$8.50	$15.39	$37.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $22.56 / $38.35	Facility		$3.86	$22.56	$38.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $25.38 / $32.00	Professional		$3.86	$25.38	$32.00
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 $8.50 / $14.25 / $20.89	Professional		$8.50	$14.25	$20.89