Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $24.49 / $24.49	Facility		$24.49	$24.49	$24.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $23.59 / $28.41	Professional		$22.67	$23.59	$28.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.40 / $144.28 / $232.19	Facility		$63.40	$144.28	$232.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $16.50 / $27.91	Professional		$15.00	$16.50	$27.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $136.96	Facility		$28.34	$28.34	$136.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $27.84 / $51.49	Professional		$20.84	$27.84	$51.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $25.50 / $44.31	Facility		$18.54	$25.50	$44.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $20.00 / $63.14	Professional		$12.75	$20.00	$63.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $14.45 / $17.04	Professional		$2.58	$14.45	$17.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $23.63 / $37.35	Professional		$19.14	$23.63	$37.35