Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $81.66 / $220.96	Facility		$21.62	$81.66	$220.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $49.54 / $65.56	Professional		$17.10	$49.54	$65.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.13 / $76.13 / $76.13	Facility		$76.13	$76.13	$76.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $27.72 / $83.52	Professional		$16.62	$27.72	$83.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $53.63	Facility		$28.89	$28.89	$53.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $66.33 / $109.38	Professional		$20.75	$66.33	$109.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $61.98 / $97.34	Facility		$17.44	$61.98	$97.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $78.64 / $162.99	Professional		$59.34	$78.64	$162.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $74.01 / $114.92	Professional		$51.96	$74.01	$114.92
United Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $66.50 / $108.18	Professional		$56.52	$66.50	$108.18