Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $107.73 / $195.08	Facility		$25.08	$107.73	$195.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $37.36 / $47.08	Professional		$29.14	$37.36	$47.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $28.24 / $42.18	Facility		$24.96	$28.24	$42.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $48.07 / $51.10	Professional		$37.36	$48.07	$51.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $35.25 / $47.32	Facility		$35.25	$35.25	$47.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $47.32 / $47.32	Professional		$47.32	$47.32	$47.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $41.11 / $110.90	Facility		$23.36	$41.11	$110.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $24.71 / $30.88	Professional		$24.71	$24.71	$30.88
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $48.59 / $50.70	Professional		$42.25	$48.59	$50.70