Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $15.40 / $93.63	Facility		$7.56	$15.40	$93.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $17.21 / $17.91	Professional		$15.40	$17.21	$17.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $111.47 / $258.89	Facility		$41.73	$111.47	$258.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $20.53 / $42.00	Professional		$19.73	$20.53	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $57.22 / $118.53	Facility		$35.86	$57.22	$118.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.42 / $28.39	Professional		$10.02	$12.42	$28.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $20.73 / $36.84	Facility		$14.81	$20.73	$36.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $27.14 / $31.00	Professional		$22.00	$27.14	$31.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $15.63	Professional		$10.86	$10.86	$15.63
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.84 / $27.59	Professional		$8.28	$11.84	$27.59