Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $71.42 / $288.75	Facility		$16.00	$71.42	$288.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $59.78 / $71.42	Professional		$59.78	$59.78	$71.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $24.01 / $42.17	Facility		$12.74	$24.01	$42.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $16.00 / $19.20	Professional		$14.08	$16.00	$19.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $71.42 / $96.42	Facility		$15.20	$71.42	$96.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $16.39	Professional		$13.12	$13.12	$16.39
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $17.60	Professional		$16.00	$16.00	$17.60