Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.09 / $29.09 / $117.61	Facility		$29.09	$29.09	$117.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $30.16 / $30.16	Professional		$29.09	$30.16	$30.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $23.28 / $37.14	Facility		$5.57	$23.28	$37.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.64 / $17.64	Professional		$17.64	$17.64	$17.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Facility		$30.08	$30.08	$30.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $32.00 / $39.27	Facility		$22.95	$32.00	$39.27
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 $30.08 / $30.08 / $33.09	Professional		$30.08	$30.08	$33.09