Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $13.70 / $34.13	Facility		$13.70	$13.70	$34.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $13.70 / $18.82	Professional		$11.76	$13.70	$18.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.21 / $863.24 / $1,390.34	Facility		$442.21	$863.24	$1,390.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $18.46 / $68.50	Professional		$14.65	$18.46	$68.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $16.71 / $29.37	Facility		$12.27	$16.71	$29.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $16.64 / $29.87	Professional		$11.83	$16.64	$29.87