Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $20.45 / $20.45	Facility		$20.45	$20.45	$20.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $20.45 / $21.28	Professional		$19.48	$20.45	$21.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.63 / $36.63 / $36.63	Facility		$36.63	$36.63	$36.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $30.00 / $34.61	Professional		$19.48	$30.00	$34.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $19.48 / $19.48	Facility		$18.38	$19.48	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Professional		$19.48	$19.48	$19.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $22.66 / $34.77	Facility		$20.45	$22.66	$34.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $22.66	Professional		$22.66	$22.66	$22.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $20.50 / $25.83	Professional		$19.48	$20.50	$25.83
United Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $19.48 / $21.43	Professional		$17.53	$19.48	$21.43