Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Facility		$13.50	$13.50	$13.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $13.50 / $16.37	Professional		$12.86	$13.50	$16.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $12.93 / $17.59	Professional		$7.85	$12.93	$17.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.86 / $12.86	Facility		$12.13	$12.86	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $13.50 / $21.97	Facility		$6.89	$13.50	$21.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $6.89	Professional		$6.89	$6.89	$6.89
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 $11.83 / $12.86 / $13.50	Professional		$11.83	$12.86	$13.50