Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $14.88 / $20.05	Facility		$11.19	$14.88	$20.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $17.44	Professional		$11.19	$11.19	$17.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $73.65 / $77.78	Facility		$64.81	$73.65	$77.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $30.15 / $30.15	Professional		$17.50	$30.15	$30.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $11.86 / $21.18	Facility		$11.19	$11.86	$21.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $11.72 / $11.72	Professional		$11.72	$11.72	$11.72
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $22.75	Professional		$17.50	$17.50	$22.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $100.00 / $100.00	Facility		$26.35	$100.00	$100.00