Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.18 / $28.18	Facility		$19.95	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Professional		$19.05	$19.05	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $117.49 / $144.54	Professional		$12.02	$117.49	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.95 / $19.95	Facility		$19.05	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.91 / $46.77	Facility		$19.95	$22.91	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.39 / $125.89	Professional		$21.38	$22.39	$125.89