Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $9.99 / $9.99	Facility		$9.99	$9.99	$9.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $9.99 / $10.94	Professional		$6.42	$9.99	$10.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $13.11 / $22.86	Professional		$12.49	$13.11	$22.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $14.64 / $14.64	Facility		$14.64	$14.64	$14.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $11.89 / $21.86	Facility		$9.81	$11.89	$21.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $11.45 / $11.45	Professional		$11.45	$11.45	$11.45
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 $4.16 / $5.93 / $6.87	Professional		$4.16	$5.93	$6.87