Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.78 / $23.15 / $140.75	Facility		$20.78	$23.15	$140.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $23.15 / $25.82	Professional		$23.15	$23.15	$25.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.95 / $124.80 / $204.44	Facility		$60.95	$124.80	$204.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $75.00 / $95.17	Professional		$29.68	$75.00	$95.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $86.03 / $179.77	Facility		$53.93	$86.03	$179.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $18.55 / $42.85	Professional		$15.12	$18.55	$42.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $34.27 / $58.06	Facility		$22.26	$34.27	$58.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $42.51 / $54.00	Professional		$33.00	$42.51	$54.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $23.51	Professional		$16.32	$16.32	$23.51
United Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $29.68 / $29.68	Facility		$26.71	$29.68	$29.68
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $17.80 / $41.47	Professional		$12.47	$17.80	$41.47