Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $33.11	Professional		$15.85	$19.05	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $45.71	Professional		$19.95	$38.90	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $102.33	Facility		$21.38	$25.70	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $44.67	Professional		$18.62	$18.62	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $25.12	Professional		$19.50	$19.50	$25.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.70 / $60.26	Facility		$16.22	$25.70	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $19.95 / $46.77	Facility		$0.03	$19.95	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $23.99	Professional		$14.13	$19.05	$23.99