Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $26.53 / $26.53	Facility		$26.53	$26.53	$26.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $26.53 / $33.18	Professional		$15.94	$26.53	$33.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $35.00 / $61.54	Professional		$33.18	$35.00	$61.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $38.88 / $38.88	Facility		$38.88	$38.88	$38.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Professional		$13.54	$13.54	$13.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $33.35 / $61.22	Facility		$26.43	$33.35	$61.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.82 / $19.39	Professional		$11.03	$15.82	$19.39