Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $33.00 / $42.85	Professional		$26.50	$33.00	$42.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $32.74 / $32.74	Professional		$23.90	$32.74	$32.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $38.52	Facility		$25.00	$25.00	$38.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Professional		$31.00	$31.00	$31.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $30.00	Professional		$22.70	$22.70	$30.00