Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $15.46 / $94.00	Facility		$13.87	$15.46	$94.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $15.46 / $17.23	Professional		$15.46	$15.46	$17.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $58.65 / $94.96	Facility		$28.34	$58.65	$94.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $24.00 / $35.00	Professional		$19.82	$24.00	$35.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $57.44 / $120.50	Facility		$36.01	$57.44	$120.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $10.03 / $28.39	Professional		$9.03	$10.03	$28.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $19.23 / $29.77	Facility		$14.87	$19.23	$29.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.86 / $25.00	Professional		$18.00	$21.86	$25.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $10.90 / $15.70	Professional		$10.90	$10.90	$15.70
United Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $17.84 / $23.78	Facility		$17.84	$17.84	$23.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.89 / $25.58	Professional		$8.32	$11.89	$25.58