Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $5,036.29 / $6,715.24	Facility		$19.95	$5,036.29	$6,715.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.95 / $49.85	Professional		$19.00	$19.95	$49.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $128.84 / $198.36	Facility		$55.03	$128.84	$198.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $83.37 / $119.64	Professional		$19.00	$83.37	$119.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $19.00 / $36.92	Facility		$13.34	$19.00	$36.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $58.34 / $105.97	Facility		$19.95	$58.34	$105.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $58.34 / $106.94	Professional		$43.40	$58.34	$106.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $30.00 / $55.00	Professional		$18.46	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $20.14 / $21.32	Professional		$16.14	$20.14	$21.32