Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $15.28 / $92.90	Facility		$13.71	$15.28	$92.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $17.04	Professional		$15.28	$15.28	$17.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $133.96 / $143.16	Facility		$33.22	$133.96	$143.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $26.79	Professional		$19.59	$19.59	$26.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.59 / $56.78 / $118.53	Facility		$35.59	$56.78	$118.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.14 / $28.39	Professional		$9.86	$13.14	$28.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.20 / $41.02	Facility		$14.69	$24.20	$41.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $30.03 / $39.00	Professional		$23.00	$30.03	$39.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $10.77 / $15.52	Professional		$10.77	$10.77	$15.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.75 / $43.47	Professional		$8.23	$11.75	$43.47