Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $50.12 / $67.61	Facility		$30.20	$50.12	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $37.15	Professional		$19.05	$22.91	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $28.84	Facility		$18.62	$22.39	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $18.20 / $33.88	Professional		$8.91	$18.20	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $25.12 / $58.88	Professional		$5.75	$25.12	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $128.82 / $338.84	Facility		$22.39	$128.82	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.13 / $22.39	Professional		$8.13	$14.13	$22.39