Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $429.63 / $1,050.53	Facility		$26.46	$429.63	$1,050.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.38 / $34.60	Professional		$25.20	$26.38	$34.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $56.87 / $110.30	Facility		$31.63	$56.87	$110.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $37.81 / $47.71	Professional		$25.20	$37.81	$47.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $23.78 / $25.20	Facility		$23.78	$23.78	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $26.59	Professional		$25.20	$25.20	$26.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $42.00 / $166.00	Facility		$26.38	$42.00	$166.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $118.00 / $166.00	Professional		$31.65	$118.00	$166.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $26.46 / $61.55	Professional		$24.67	$26.46	$61.55
United Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $26.71 / $31.50	Professional		$21.42	$26.71	$31.50