Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $37.33 / $152.46	Facility		$23.36	$37.33	$152.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $37.33 / $58.19	Professional		$25.13	$37.33	$58.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $21.98 / $35.51	Facility		$10.89	$21.98	$35.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $42.07 / $48.54	Professional		$35.54	$42.07	$48.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $35.54 / $35.54	Facility		$33.54	$35.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $40.84 / $50.40	Facility		$17.23	$40.84	$50.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $41.88 / $41.88	Professional		$41.88	$41.88	$41.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54