Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Facility		$10.40	$10.40	$10.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $20.87	Professional		$10.40	$10.40	$20.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $189.00 / $245.42	Professional		$151.00	$189.00	$245.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $41.25	Facility		$28.09	$28.09	$41.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $28.09	Professional		$20.51	$20.51	$28.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $12.90 / $32.64	Facility		$10.40	$12.90	$32.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
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 $9.38 / $12.82 / $19.78	Professional		$9.38	$12.82	$19.78