Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $37.63 / $537.08	Facility		$33.77	$37.63	$537.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $37.63 / $41.97	Professional		$37.63	$37.63	$41.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $159.69 / $254.54	Facility		$72.62	$159.69	$254.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $60.00 / $79.75	Professional		$48.24	$60.00	$79.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.68 / $139.87 / $278.58	Facility		$87.68	$139.87	$278.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $24.65 / $65.84	Professional		$21.95	$24.65	$65.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $56.38 / $78.11	Facility		$36.22	$56.38	$78.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $26.53 / $26.53	Professional		$26.53	$26.53	$26.53
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $28.94 / $43.93	Professional		$20.26	$28.94	$43.93