Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $6,261.69 / $26,979.20	Facility		$29.26	$6,261.69	$26,979.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $28.14 / $53.07	Professional		$27.85	$28.14	$53.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $87.92 / $132.97	Facility		$42.24	$87.92	$132.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $61.74 / $94.53	Professional		$27.86	$61.74	$94.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $27.86 / $40.22	Facility		$22.34	$27.86	$40.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Professional		$27.86	$27.86	$27.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $69.77 / $83.73	Facility		$27.86	$69.77	$83.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $69.59 / $69.77	Professional		$33.77	$69.59	$69.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $29.87 / $68.67	Professional		$27.80	$29.87	$68.67
United Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $29.53 / $33.43	Professional		$23.68	$29.53	$33.43