Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $37.22 / $37.22	Facility		$37.22	$37.22	$37.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $37.22 / $41.75	Professional		$26.41	$37.22	$41.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $122.02 / $193.41	Professional		$110.00	$122.02	$193.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $37.70 / $57.04	Facility		$36.31	$37.70	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Professional		$30.86	$30.86	$30.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $45.43 / $104.04	Facility		$31.67	$45.43	$104.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $45.43 / $45.43	Professional		$45.43	$45.43	$45.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $29.89 / $38.94	Professional		$20.10	$29.89	$38.94