Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $12.90 / $50.90	Facility		$12.90	$12.90	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.41 / $15.06	Professional		$12.27	$12.41	$15.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $30.51 / $51.40	Facility		$19.07	$30.51	$51.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $24.26 / $31.70	Professional		$12.28	$24.26	$31.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $12.28 / $23.98	Facility		$11.59	$12.28	$23.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $13.33	Professional		$12.28	$12.28	$13.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $24.36 / $36.82	Facility		$12.80	$24.36	$36.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $24.36 / $40.04	Professional		$24.36	$24.36	$40.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $16.32 / $29.25	Professional		$11.99	$16.32	$29.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $13.02 / $13.67	Professional		$10.07	$13.02	$13.67