Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $13.95 / $16.38	Facility		$13.95	$13.95	$16.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $13.95 / $15.17	Professional		$13.95	$13.95	$15.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $28.11 / $38.90	Facility		$18.07	$28.11	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $11.51 / $15.35	Professional		$11.51	$11.51	$15.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Facility		$16.64	$16.64	$16.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $17.85	Professional		$16.64	$16.64	$17.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $14.79 / $19.27	Facility		$13.95	$14.79	$19.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $13.68 / $13.68	Professional		$13.68	$13.68	$13.68
United Facility/Professional Facility Modifier Low / Median / High Price $28.79 / $38.20 / $38.94	Facility		$28.79	$38.20	$38.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $17.16 / $23.60	Professional		$15.32	$17.16	$23.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $214.27 / $214.27	Facility		$100.00	$214.27	$214.27