Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $28.32 / $184.00	Facility		$28.32	$28.32	$184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $29.87 / $36.40	Professional		$25.30	$29.87	$36.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.37 / $51.24 / $86.99	Facility		$31.37	$51.24	$86.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $6.75 / $154.83	Facility		$2.15	$6.75	$154.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $19.30 / $47.20	Professional		$9.81	$19.30	$47.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $32.50 / $49.02	Facility		$21.44	$32.50	$49.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $32.50 / $32.50	Professional		$20.00	$32.50	$32.50
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 Facility Modifier Low / Median / High Price $722.60 / $834.06 / $1,099.27	Facility		$722.60	$834.06	$1,099.27
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $17.89 / $25.60	Professional		$10.95	$17.89	$25.60