Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $15.26 / $92.78	Facility		$13.69	$15.26	$92.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $15.26 / $17.02	Professional		$15.26	$15.26	$17.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $131.41 / $221.46	Facility		$43.70	$131.41	$221.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $19.55 / $49.00	Professional		$17.00	$19.55	$49.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $56.69 / $118.53	Facility		$35.54	$56.69	$118.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.27 / $27.88	Professional		$9.86	$12.27	$27.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $22.58 / $38.25	Facility		$15.26	$22.58	$38.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $23.33 / $36.00	Professional		$18.00	$23.33	$36.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $15.49	Professional		$10.76	$10.76	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $12.60 / $27.32	Professional		$8.22	$12.60	$27.32