Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.26 / $54.26 / $54.26	Facility		$54.26	$54.26	$54.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $54.26 / $70.58	Professional		$45.68	$54.26	$70.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $88.94 / $124.89	Professional		$50.00	$88.94	$124.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $105.26	Facility		$65.00	$65.00	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $67.94	Professional		$55.25	$55.25	$67.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.26 / $67.80 / $125.43	Facility		$54.26	$67.80	$125.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $67.80 / $67.80	Professional		$67.80	$67.80	$67.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $44.47 / $44.47	Professional		$44.47	$44.47	$44.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $48.27 / $78.66	Professional		$37.42	$48.27	$78.66