Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $9,132.00 / $14,847.06	Facility		$42.83	$9,132.00	$14,847.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $56.20 / $70.67	Professional		$55.09	$56.20	$70.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $44.37 / $74.36	Facility		$22.29	$44.37	$74.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $67.20 / $78.12	Professional		$55.65	$67.20	$78.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $55.65 / $72.76	Facility		$52.50	$55.65	$72.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $57.75	Professional		$55.65	$55.65	$57.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $55.15 / $78.97	Facility		$29.29	$55.15	$78.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $71.94	Professional		$29.29	$29.29	$71.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $58.43 / $137.72	Professional		$54.44	$58.43	$137.72
United Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $58.99 / $62.45	Professional		$47.30	$58.99	$62.45