Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $13.60 / $13.60	Facility		$13.60	$13.60	$13.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $13.60 / $27.30	Professional		$13.60	$13.60	$27.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $36.04 / $44.12	Professional		$28.00	$36.04	$44.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $36.00	Facility		$28.58	$28.58	$36.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $24.36 / $28.58	Professional		$20.86	$24.36	$28.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $16.86 / $42.13	Facility		$13.60	$16.86	$42.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $32.85 / $32.85	Professional		$32.85	$32.85	$32.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $17.36 / $27.41	Professional		$11.13	$17.36	$27.41