Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $23.42 / $230.91	Facility		$21.02	$23.42	$230.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $26.13	Professional		$23.42	$23.42	$26.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $79.95 / $136.83	Facility		$38.43	$79.95	$136.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $30.03 / $41.44	Professional		$28.00	$30.03	$41.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $87.06 / $171.23	Facility		$54.58	$87.06	$171.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.04 / $37.78	Professional		$12.60	$14.04	$37.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $37.00 / $51.65	Facility		$23.42	$37.00	$51.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52
United Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $17.13 / $27.35	Professional		$12.61	$17.13	$27.35