Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $55.58 / $55.58	Facility		$8.78	$55.58	$55.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $8.78 / $10.92	Professional		$6.24	$8.78	$10.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $30.61 / $70.75	Facility		$11.55	$30.61	$70.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.18 / $15.70	Professional		$11.48	$12.18	$15.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Facility		$9.35	$9.35	$9.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $8.78 / $21.13	Facility		$0.33	$8.78	$21.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Professional		$0.33	$0.33	$0.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,000.00 / $3,000.00	Professional		$30.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $6.89 / $7.65	Professional		$4.59	$6.89	$7.65