Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $16.88 / $93.13	Facility		$16.88	$16.88	$93.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $25.25 / $80.37	Professional		$16.88	$25.25	$80.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $23.92 / $58.27	Facility		$11.70	$23.92	$58.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $66.77 / $74.86	Professional		$16.07	$66.77	$74.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $16.07 / $16.07	Facility		$15.17	$16.07	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $18.57 / $78.55	Facility		$16.88	$18.57	$78.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.46 / $125.46 / $125.46	Professional		$125.46	$125.46	$125.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $20.10 / $96.91	Professional		$15.58	$20.10	$96.91
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07