Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $19.23 / $29.73	Professional		$17.53	$19.23	$29.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.52 / $689.32 / $1,110.53	Facility		$382.52	$689.32	$1,110.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $37.00 / $59.50	Professional		$17.39	$37.00	$59.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $21.32 / $469.96	Facility		$21.32	$21.32	$469.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $34.15 / $57.63	Professional		$19.98	$34.15	$57.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $32.90 / $42.17	Facility		$19.18	$32.90	$42.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $35.51 / $60.80	Professional		$35.51	$35.51	$60.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $19.89 / $22.49	Professional		$13.06	$19.89	$22.49
United Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $26.06 / $43.75	Professional		$16.28	$26.06	$43.75