Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.36 / $491.40 / $895.75	Facility		$114.36	$491.40	$895.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $38.84 / $108.81	Professional		$33.42	$38.84	$108.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.40 / $266.49 / $461.28	Facility		$129.40	$266.49	$461.28
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 $50.10 / $105.55 / $258.77	Facility		$50.10	$105.55	$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 Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $46.91	Professional		$17.98	$25.70	$46.91