Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $48.98 / $53.70	Facility		$12.88	$48.98	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $18.62	Professional		$12.88	$12.88	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.50 / $23.99	Facility		$13.80	$19.50	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $22.39	Professional		$18.20	$19.50	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.22 / $18.20	Facility		$13.49	$16.22	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $30.20	Professional		$15.14	$19.05	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $15.14	Professional		$13.49	$13.49	$15.14