Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $21.57 / $87.21	Facility		$21.57	$21.57	$87.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $22.36 / $22.36	Professional		$21.57	$22.36	$22.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $29.90 / $32.71	Facility		$26.43	$29.90	$32.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $23.66 / $28.39	Professional		$20.82	$23.66	$28.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $23.73 / $33.54	Facility		$20.25	$23.73	$33.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05