Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.86 / $292.22 / $640.69	Facility		$94.86	$292.22	$640.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $188.76 / $188.76	Facility		$188.76	$188.76	$188.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $96.80 / $125.99	Facility		$88.00	$96.80	$125.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $128.40 / $128.40	Professional		$128.40	$128.40	$128.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00