Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $4,399.02 / $10,203.18	Facility		$54.54	$4,399.02	$10,203.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $44.74 / $54.54	Professional		$35.56	$44.74	$54.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $51.26 / $124.64	Facility		$15.64	$51.26	$124.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $43.05 / $54.71	Professional		$39.21	$43.05	$54.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Facility		$88.54	$88.54	$88.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $42.84 / $92.72	Facility		$20.00	$42.84	$92.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $40.70	Professional		$20.00	$20.00	$40.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $35.00	Professional		$30.00	$30.00	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $42.84 / $43.70	Professional		$36.40	$42.84	$43.70