Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $109.65 / $210.54	Facility		$17.76	$109.65	$210.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $18.73 / $22.83	Professional		$15.95	$18.73	$22.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $51.24 / $86.76	Facility		$29.22	$51.24	$86.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $4.21 / $106.36	Facility		$1.34	$4.21	$106.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $12.60 / $29.83	Professional		$7.45	$12.60	$29.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $20.03 / $31.99	Facility		$13.51	$20.03	$31.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $40.00	Professional		$20.03	$20.03	$40.00
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 $6.86 / $11.22 / $16.27	Professional		$6.86	$11.22	$16.27