Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $32.32 / $131.91	Facility		$32.32	$32.32	$131.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.49 / $32.63	Professional		$30.78	$31.49	$32.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $41.07 / $72.95	Facility		$22.84	$41.07	$72.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $36.11 / $43.34	Professional		$30.78	$36.11	$43.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $30.78 / $36.47	Facility		$29.03	$30.78	$36.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $31.94	Professional		$30.78	$30.78	$31.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $31.49 / $53.17	Facility		$26.61	$31.49	$53.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $26.61 / $58.15	Professional		$26.61	$26.61	$58.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $33.11 / $77.70	Professional		$32.31	$33.11	$77.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $32.63 / $35.86	Professional		$26.16	$32.63	$35.86