Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $12.00 / $25.00	Facility		$5.00	$12.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.00 / $25.00	Professional		$3.00	$5.00	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $100.68 / $100.68	Facility		$100.68	$100.68	$100.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.10 / $93.10 / $93.10	Facility		$93.10	$93.10	$93.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $15.35 / $22.55	Professional		$15.35	$15.35	$22.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $14.44 / $22.70	Professional		$12.20	$14.44	$22.70