Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $19.93 / $121.17	Facility		$14.99	$19.93	$121.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $19.93 / $22.23	Professional		$19.93	$19.93	$22.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $103.76 / $172.20	Facility		$51.30	$103.76	$172.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $34.94 / $63.00	Professional		$25.55	$34.94	$63.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.44 / $74.08 / $154.08	Facility		$46.44	$74.08	$154.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $15.71 / $36.65	Professional		$12.65	$15.71	$36.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.93 / $28.87 / $48.92	Facility		$19.93	$28.87	$48.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $35.82 / $46.00	Professional		$28.00	$35.82	$46.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $20.23	Professional		$14.05	$14.05	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.33 / $34.94	Professional		$10.73	$15.33	$34.94