Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $19.47 / $21.41	Professional		$17.37	$19.47	$21.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.38 / $165.38 / $165.38	Facility		$165.38	$165.38	$165.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $19.47 / $31.83	Facility		$14.08	$19.47	$31.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $14.08 / $14.28	Professional		$14.08	$14.08	$14.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $1,500.00 / $3,000.00	Professional		$55.00	$1,500.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $36.08 / $74.09	Professional		$25.00	$36.08	$74.09