Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $173.78 / $173.78	Facility		$28.18	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $42.66	Professional		$22.91	$30.20	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $50.12 / $89.13	Facility		$28.18	$50.12	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $3.55 / $79.43	Facility		$0.78	$3.55	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.50 / $46.77	Professional		$10.47	$19.50	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $31.62 / $56.23	Facility		$15.85	$31.62	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $707.95 / $1,096.48	Facility		$147.91	$707.95	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $25.70	Professional		$10.96	$17.78	$25.70