Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $297.85 / $744.07	Facility		$32.57	$297.85	$744.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $32.57 / $37.22	Professional		$32.57	$32.57	$37.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.75 / $172.41 / $301.27	Facility		$85.75	$172.41	$301.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $36.51 / $57.11	Professional		$34.35	$36.51	$57.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.88 / $121.04 / $252.86	Facility		$75.88	$121.04	$252.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $28.68 / $78.61	Professional		$21.20	$28.68	$78.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $60.00 / $78.75	Facility		$33.40	$60.00	$78.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $26.25 / $45.71	Professional		$17.54	$26.25	$45.71