Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.72 / $8.35	Professional		$4.88	$6.72	$8.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $117.06 / $163.96	Professional		$107.00	$117.06	$163.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Facility		$12.21	$12.21	$12.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $9.35 / $15.00	Facility		$6.72	$9.35	$15.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $5.13 / $7.59	Professional		$3.49	$5.13	$7.59