Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $30,199.52 / $63,095.73	Facility		$812.83	$30,199.52	$63,095.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $28.84	Professional		$23.99	$25.12	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $114.82 / $302.00	Facility		$23.99	$114.82	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $151.36	Professional		$117.49	$125.89	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $32.36 / $79.43	Facility		$25.70	$32.36	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $125.89	Professional		$30.90	$30.90	$125.89