Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $30.24 / $122.26	Facility		$30.24	$30.24	$122.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $30.61 / $32.90	Professional		$29.50	$30.61	$32.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $28.15 / $47.91	Facility		$14.26	$28.15	$47.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $35.04 / $43.80	Professional		$31.35	$35.04	$43.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Facility		$31.35	$31.35	$31.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Professional		$31.35	$31.35	$31.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $25.82 / $45.60	Facility		$14.00	$25.82	$45.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.00 / $57.30	Professional		$10.00	$14.00	$57.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $31.75 / $3,000.00	Professional		$30.00	$31.75	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $32.57 / $40.26	Professional		$26.12	$32.57	$40.26