Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $26.89 / $147.38	Facility		$24.24	$26.89	$147.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $25.57 / $31.16	Professional		$21.65	$25.57	$31.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.23 / $84.13 / $143.66	Facility		$49.23	$84.13	$143.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $5.79 / $132.68	Facility		$1.85	$5.79	$132.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $16.95 / $40.61	Professional		$9.81	$16.95	$40.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $27.16 / $43.51	Facility		$18.63	$27.16	$43.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.16 / $27.16	Professional		$20.00	$27.16	$27.16
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 $9.30 / $15.31 / $24.56	Professional		$9.30	$15.31	$24.56