Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $245.47 / $691.83	Facility		$54.95	$245.47	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $93.33	Professional		$57.54	$61.66	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $524.81 / $1,000.00	Facility		$100.00	$524.81	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $60.26	Professional		$33.88	$48.98	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $57.54 / $57.54	Facility		$54.95	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $83.18 / $194.98	Facility		$14.13	$83.18	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $60.26	Professional		$32.36	$57.54	$60.26