Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $39.81 / $120.23	Facility		$28.84	$39.81	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $34.67	Professional		$28.18	$28.18	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $41.69 / $79.43	Facility		$19.05	$41.69	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $39.81	Professional		$28.84	$33.88	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.84 / $50.12	Facility		$26.92	$28.84	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $30.90	Professional		$28.84	$28.84	$30.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $32.36 / $51.29	Facility		$28.84	$32.36	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $35.48	Professional		$28.84	$31.62	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $61.66	Facility		$28.84	$28.84	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $33.88	Professional		$24.55	$30.20	$33.88