Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Facility		$19.20	$19.20	$19.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.20 / $19.20	Professional		$19.19	$19.20	$19.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $21.63 / $60.88	Facility		$10.09	$21.63	$60.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $19.20 / $23.04	Professional		$16.89	$19.20	$23.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Facility		$11.89	$11.89	$11.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $19.20 / $25.92	Facility		$12.09	$19.20	$25.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $19.67 / $25.35	Professional		$15.74	$19.67	$25.35
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $29.60	Professional		$25.74	$25.74	$29.60