Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $43.48 / $264.36	Facility		$39.02	$43.48	$264.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $44.59 / $59.13	Professional		$43.48	$44.59	$59.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.03 / $241.62 / $381.09	Facility		$124.03	$241.62	$381.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $55.74 / $76.22	Professional		$55.74	$55.74	$76.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $161.59 / $331.80	Facility		$101.30	$161.59	$331.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $29.28 / $78.61	Professional		$25.47	$29.28	$78.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $60.00 / $91.59	Facility		$43.48	$60.00	$91.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $30.66 / $30.66	Professional		$30.66	$30.66	$30.66
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $33.44 / $55.74	Professional		$23.41	$33.44	$55.74