Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $23.41 / $23.41	Facility		$23.41	$23.41	$23.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.12 / $27.96	Professional		$19.05	$24.12	$27.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.62 / $789.62 / $789.62	Facility		$789.62	$789.62	$789.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $43.83 / $124.37	Professional		$41.31	$43.83	$124.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.11 / $204.11 / $696.67	Facility		$204.11	$204.11	$696.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $35.44 / $64.01	Professional		$27.35	$35.44	$64.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $39.86 / $76.83	Facility		$23.41	$39.86	$76.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $103.00	Professional		$103.00	$103.00	$103.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $80.31 / $180.97	Professional		$45.50	$80.31	$180.97