Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $14.75 / $89.68	Facility		$13.24	$14.75	$89.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $16.45	Professional		$14.75	$14.75	$16.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $64.55 / $193.33	Facility		$28.33	$64.55	$193.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $24.00 / $48.00	Professional		$18.91	$24.00	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $54.81 / $114.58	Facility		$34.36	$54.81	$114.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.91 / $26.85	Professional		$9.52	$11.91	$26.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $21.84 / $37.00	Facility		$14.75	$21.84	$37.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $27.10 / $35.00	Professional		$10.00	$27.10	$35.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $14.98	Professional		$10.40	$10.40	$14.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.87 / $26.43	Professional		$7.94	$12.87	$26.43