Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $19.12 / $116.25	Facility		$17.16	$19.12	$116.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $21.32 / $22.04	Professional		$19.12	$21.32	$22.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $93.53 / $167.21	Facility		$42.43	$93.53	$167.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $33.52 / $62.00	Professional		$24.51	$33.52	$62.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $71.05 / $148.16	Facility		$44.54	$71.05	$148.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $15.38 / $35.11	Professional		$12.49	$15.38	$35.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $28.30 / $47.92	Facility		$19.12	$28.30	$47.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $35.09 / $45.00	Professional		$27.00	$35.09	$45.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $13.48 / $19.41	Professional		$13.48	$13.48	$19.41
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.71 / $44.12	Professional		$10.29	$14.71	$44.12