Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $16.42 / $99.83	Facility		$14.02	$16.42	$99.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $16.42 / $18.30	Professional		$16.42	$16.42	$18.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.83 / $57.69 / $95.67	Facility		$27.83	$57.69	$95.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $28.79 / $34.00	Professional		$21.05	$28.79	$34.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $61.01 / $126.43	Facility		$38.25	$61.01	$126.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.91 / $30.46	Professional		$9.52	$11.91	$30.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $18.95 / $35.32	Facility		$15.53	$18.95	$35.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $25.00 / $28.63	Professional		$19.27	$25.00	$28.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $11.58 / $16.67	Professional		$11.58	$11.58	$16.67
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $12.63 / $25.26	Professional		$8.84	$12.63	$25.26