Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $38.68 / $38.68	Facility		$38.68	$38.68	$38.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $38.68 / $42.36	Professional		$23.24	$38.68	$42.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $36.57 / $51.33	Professional		$29.00	$36.57	$51.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $29.06 / $29.06	Facility		$23.74	$29.06	$29.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $25.34 / $36.34	Professional		$24.70	$25.34	$36.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $40.90 / $75.98	Facility		$24.23	$40.90	$75.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $32.00	Professional		$31.00	$31.00	$32.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $32.68 / $3,000.00	Professional		$32.68	$32.68	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $22.22 / $29.08	Professional		$16.05	$22.22	$29.08