Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $33.42 / $203.19	Facility		$29.99	$33.42	$203.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $37.27	Professional		$33.42	$33.42	$37.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.27 / $247.90 / $390.99	Facility		$127.27	$247.90	$390.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $58.58	Professional		$42.84	$42.84	$58.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.87 / $124.21 / $258.77	Facility		$77.87	$124.21	$258.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $29.35 / $80.66	Professional		$21.69	$29.35	$80.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $60.00 / $80.80	Facility		$34.27	$60.00	$80.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $23.56 / $23.56	Professional		$23.56	$23.56	$23.56
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.93 / $50.87	Professional		$17.98	$26.93	$50.87