Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $137.54	Facility		$33.75	$33.75	$137.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $32.15 / $34.02	Professional		$31.52	$32.15	$34.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $36.25 / $59.05	Facility		$24.37	$36.25	$59.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $35.28 / $42.85	Professional		$32.15	$35.28	$42.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $30.33 / $32.15	Facility		$30.33	$30.33	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $33.36	Professional		$32.15	$32.15	$33.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $32.15 / $54.53	Facility		$26.00	$32.15	$54.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $41.36	Professional		$26.00	$26.00	$41.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $33.14 / $78.87	Professional		$32.89	$33.14	$78.87
United Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $32.15 / $32.15	Professional		$27.97	$32.15	$32.15