Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $23.67 / $23.67	Facility		$23.67	$23.67	$23.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $23.67 / $30.77	Professional		$18.14	$23.67	$30.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $76.56 / $123.31	Facility		$36.65	$76.56	$123.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.93 / $43.28	Professional		$31.00	$31.93	$43.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $120.00	Facility		$40.00	$40.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $42.46 / $114.34	Professional		$23.79	$42.46	$114.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $30.36 / $52.11	Facility		$23.67	$30.36	$52.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $29.16 / $29.16	Professional		$28.70	$29.16	$29.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $37.00 / $57.79	Professional		$28.98	$37.00	$57.79
United Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $30.37 / $34.15	Professional		$25.96	$30.37	$34.15