Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $104.30 / $780.00	Facility		$29.43	$104.30	$780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $29.43 / $29.43	Professional		$9.64	$29.43	$29.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $39.18 / $39.18	Facility		$39.18	$39.18	$39.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.22 / $45.40	Professional		$15.00	$19.22	$45.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $92.93 / $215.09	Facility		$44.47	$92.93	$215.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $43.37 / $54.21	Professional		$6.75	$43.37	$54.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $29.43 / $39.61	Facility		$10.85	$29.43	$39.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $20.75 / $29.88	Professional		$20.75	$20.75	$29.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $26.51	Professional		$5.05	$7.23	$26.51