Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $25.44 / $102.85	Facility		$25.44	$25.44	$102.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $25.44 / $25.44	Professional		$21.29	$25.44	$25.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $69.45 / $124.25	Facility		$37.51	$69.45	$124.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $47.14 / $56.57	Professional		$41.48	$47.14	$56.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Facility		$41.64	$41.64	$41.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $31.55 / $49.97	Facility		$25.44	$31.55	$49.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $39.70 / $49.62	Professional		$39.70	$39.70	$49.62
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $47.14	Professional		$47.14	$47.14	$47.14