Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Facility		$30.23	$30.23	$30.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $29.15 / $31.80	Professional		$27.81	$29.15	$31.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.96 / $151.12 / $262.45	Facility		$81.96	$151.12	$262.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $29.45 / $39.08	Professional		$21.87	$29.45	$39.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $275.20	Facility		$35.79	$35.79	$275.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $24.00 / $149.66	Professional		$14.62	$24.00	$149.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $30.00 / $51.39	Facility		$18.46	$30.00	$51.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $76.67	Professional		$30.00	$30.00	$76.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $37.00 / $57.46	Professional		$28.00	$37.00	$57.46
United Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $28.14 / $43.05	Professional		$21.07	$28.14	$43.05