Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $20.97 / $20.97	Facility		$20.97	$20.97	$20.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $19.97 / $20.97	Professional		$16.75	$19.97	$20.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $14.40 / $24.88	Professional		$12.00	$14.40	$24.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $19.97 / $19.97	Facility		$18.84	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.47 / $23.07 / $35.65	Facility		$13.47	$23.07	$35.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
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 $18.37 / $19.97 / $21.97	Professional		$18.37	$19.97	$21.97