Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $65.48 / $264.77	Facility		$31.84	$65.48	$264.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $65.48 / $65.48	Professional		$32.90	$65.48	$65.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $33.11 / $36.21	Facility		$29.26	$33.11	$36.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $79.87 / $95.24	Professional		$70.29	$79.87	$95.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $65.48 / $88.41	Facility		$26.11	$65.48	$88.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $36.07 / $81.87	Professional		$26.11	$36.07	$81.87
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56