Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $26.47 / $193.18	Facility		$26.47	$26.47	$193.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $27.87 / $46.42	Professional		$24.92	$27.87	$46.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.97 / $1,557.14 / $3,318.50	Facility		$752.97	$1,557.14	$3,318.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $69.15 / $110.61	Professional		$23.71	$69.15	$110.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.72 / $483.72 / $483.72	Facility		$483.72	$483.72	$483.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $50.19 / $71.58	Professional		$29.94	$50.19	$71.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $58.74 / $108.98	Facility		$27.27	$58.74	$108.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $94.61 / $94.61	Professional		$94.61	$94.61	$94.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.86 / $58.22	Professional		$32.34	$39.86	$58.22
United Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $40.56 / $74.48	Professional		$25.34	$40.56	$74.48