Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Facility		$23.00	$23.00	$23.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $23.00 / $53.00	Professional		$12.13	$23.00	$53.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $50.00 / $61.54	Professional		$28.76	$50.00	$61.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Facility		$33.71	$33.71	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $23.24	Professional		$12.25	$12.25	$23.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $24.38 / $45.18	Facility		$16.78	$24.38	$45.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $3,000.00	Professional		$19.44	$19.44	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $13.51 / $17.30	Professional		$9.57	$13.51	$17.30