Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $121.49 / $20,947.05	Facility		$29.39	$121.49	$20,947.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $28.83 / $5,737.73	Professional		$27.98	$28.83	$5,737.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $111.95 / $162.13	Facility		$44.98	$111.95	$162.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $69.37 / $109.39	Professional		$27.99	$69.37	$109.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $26.56 / $27.99	Facility		$22.33	$26.56	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $33.20 / $96.89	Facility		$27.99	$33.20	$96.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $33.20 / $97.63	Professional		$24.35	$33.20	$97.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $28.67 / $66.45	Professional		$24.67	$28.67	$66.45
United Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $29.67 / $31.16	Professional		$22.95	$29.67	$31.16