Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $7.49 / $81.99	Facility		$4.19	$7.49	$81.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $7.49 / $29.66	Professional		$4.19	$7.49	$29.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $9.86 / $11.10	Facility		$8.01	$9.86	$11.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $3.87 / $24.51	Professional		$3.87	$3.87	$24.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $28.32	Professional		$24.50	$24.50	$28.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $29.16 / $31.15	Facility		$4.19	$29.16	$31.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Professional		$3.22	$3.22	$3.22
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $31.85	Professional		$24.50	$24.50	$31.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $122.50	Facility		$75.00	$100.00	$122.50