Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.63 / $29.63 / $119.79	Facility		$29.63	$29.63	$119.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $29.63 / $30.72	Professional		$28.91	$29.63	$30.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $51.36 / $95.26	Facility		$25.56	$51.36	$95.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $35.36 / $43.30	Professional		$32.78	$35.36	$43.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $25.11 / $39.94	Facility		$9.00	$25.11	$39.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.00 / $9.00	Professional		$8.00	$9.00	$9.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $29.63 / $37.03	Professional		$29.63	$29.63	$37.03
United Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $31.80 / $36.11	Professional		$25.50	$31.80	$36.11