Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $21.88	Facility		$19.95	$19.95	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $25.12	Professional		$14.13	$19.95	$25.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $19.95	Professional		$12.59	$16.98	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $20.42	Professional		$15.14	$15.14	$20.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.22 / $16.60	Professional		$7.41	$11.22	$16.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.88 / $34.67	Facility		$13.49	$21.88	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.85 / $25.70	Professional		$12.30	$15.85	$25.70