Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $151.36 / $169.82	Facility		$40.74	$151.36	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $52.48	Professional		$39.81	$41.69	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $204.17 / $354.81	Facility		$6.92	$204.17	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $48.98	Professional		$36.31	$38.90	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $45.71 / $63.10	Facility		$1.70	$45.71	$63.10
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 Facility Modifier Low / Median / High Price $36.31 / $36.31 / $77.62	Facility		$36.31	$36.31	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $52.48	Professional		$42.66	$42.66	$52.48