Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $28.29 / $28.29	Facility		$28.29	$28.29	$28.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $26.94 / $28.29	Professional		$23.85	$26.94	$28.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $38.67 / $63.11	Facility		$29.00	$38.67	$63.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $38.67 / $49.43	Professional		$26.94	$38.67	$49.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $26.94 / $26.94	Facility		$25.42	$26.94	$26.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $28.29 / $81.59	Facility		$11.87	$28.29	$81.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $10.36	Professional		$10.36	$10.36	$10.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $26.94 / $47.41	Professional		$23.25	$26.94	$47.41
United Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $26.94 / $29.63	Professional		$24.78	$26.94	$29.63