Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $22.78 / $83.89	Facility		$22.78	$22.78	$83.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.92 / $37.15	Professional		$21.70	$21.92	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $48.23 / $138.61	Facility		$21.15	$48.23	$138.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $65.20 / $80.55	Professional		$21.70	$65.20	$80.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $21.70 / $32.93	Facility		$20.47	$21.70	$32.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $27.64	Professional		$21.70	$21.70	$27.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $55.71 / $99.00	Facility		$19.80	$55.71	$99.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $82.00 / $86.00	Professional		$31.04	$82.00	$86.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $27.72 / $54.25	Professional		$20.74	$27.72	$54.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $23.00 / $25.17	Professional		$18.45	$23.00	$25.17