Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $89.59	Facility		$22.16	$22.16	$89.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.97 / $22.97	Professional		$22.16	$22.97	$22.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.88 / $145.38 / $438.24	Facility		$36.88	$145.38	$438.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $17.66	Professional		$13.47	$13.47	$17.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Facility		$22.97	$22.97	$22.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $22.16 / $29.92	Facility		$10.58	$22.16	$29.92
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 $22.52 / $22.52 / $22.52	Professional		$22.52	$22.52	$22.52