Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $25.07 / $125.66	Facility		$25.07	$25.07	$125.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $24.12 / $49.33	Professional		$23.87	$24.12	$49.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $71.19 / $209.32	Facility		$39.92	$71.19	$209.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $47.00 / $73.98	Professional		$23.88	$47.00	$73.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $23.88 / $85.00	Facility		$22.53	$23.88	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $29.93	Professional		$23.88	$23.88	$29.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $57.70 / $396.00	Facility		$25.07	$57.70	$396.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $175.00 / $396.00	Professional		$51.45	$175.00	$396.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $32.25 / $71.84	Professional		$26.01	$32.25	$71.84
United Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $25.31 / $28.42	Professional		$20.30	$25.31	$28.42