Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $29.35	Facility		$24.95	$24.95	$29.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.35 / $794.53 / $1,308.16	Facility		$619.35	$794.53	$1,308.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $29.35 / $35.22	Professional		$25.83	$29.35	$35.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Facility		$27.68	$27.68	$27.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $27.45 / $33.68	Facility		$24.95	$27.45	$33.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $29.50	Professional		$23.60	$23.60	$29.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $35.22	Professional		$29.35	$29.35	$35.22