Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.83 / $27.83 / $126.99	Facility		$27.83	$27.83	$126.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.77 / $45.21	Professional		$26.51	$26.77	$45.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.95 / $86.69 / $145.11	Facility		$59.95	$86.69	$145.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $27.85 / $48.36	Professional		$26.51	$27.85	$48.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $26.51 / $51.49	Facility		$20.83	$26.51	$51.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.83 / $60.21 / $94.62	Facility		$27.83	$60.21	$94.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $60.21 / $112.58	Professional		$49.09	$60.21	$112.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $33.22 / $71.20	Professional		$26.34	$33.22	$71.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $28.10 / $34.82	Professional		$22.53	$28.10	$34.82