Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $49.70 / $99.26	Facility		$34.97	$49.70	$99.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $56.48 / $77.37	Professional		$25.15	$56.48	$77.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.82 / $146.88 / $275.04	Facility		$111.82	$146.88	$275.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $39.78 / $91.30	Professional		$24.31	$39.78	$91.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $53.63	Facility		$42.21	$42.21	$53.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $76.44 / $140.11	Professional		$30.18	$76.44	$140.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $77.37 / $112.00	Facility		$27.99	$77.37	$112.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $85.92 / $182.60	Professional		$66.48	$85.92	$182.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $112.17 / $174.46	Professional		$79.45	$112.17	$174.46
United Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $75.75 / $137.07	Professional		$63.89	$75.75	$137.07