Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $6.40 / $6.40	Facility		$6.40	$6.40	$6.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $6.72 / $12.85	Professional		$6.40	$6.72	$12.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $12.20 / $65.84	Facility		$9.58	$12.20	$65.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $34.00 / $44.15	Professional		$27.50	$34.00	$44.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $28.65 / $34.50	Facility		$28.65	$28.65	$34.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $20.91 / $28.65	Professional		$20.91	$20.91	$28.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $7.94 / $25.00	Facility		$6.40	$7.94	$25.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $13.65 / $13.65	Professional		$13.65	$13.65	$13.65
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 $5.24 / $7.99 / $12.17	Professional		$5.24	$7.99	$12.17