Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $14.40 / $14.40	Facility		$14.40	$14.40	$14.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $28.90	Professional		$14.40	$14.40	$28.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $89.00 / $115.57	Professional		$71.50	$89.00	$115.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $54.94 / $86.25	Facility		$10.71	$54.94	$86.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $54.94	Professional		$40.11	$40.11	$54.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $17.86 / $44.79	Facility		$14.40	$17.86	$44.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $85.00	Professional		$35.07	$35.07	$85.00
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 $12.99 / $17.98 / $29.24	Professional		$12.99	$17.98	$29.24