Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $42.66	Professional		$19.05	$23.99	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $57.54	Professional		$28.84	$48.98	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $29.51 / $81.28	Facility		$21.88	$29.51	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $53.70	Professional		$21.88	$21.88	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $32.36	Professional		$26.30	$29.51	$32.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $37.15 / $79.43	Facility		$23.99	$37.15	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.45	Professional		$14.13	$14.13	$14.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.18 / $60.26	Facility		$21.88	$28.18	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $30.90	Professional		$18.62	$24.55	$30.90