Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $19.89 / $80.42	Facility		$19.89	$19.89	$80.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $20.62 / $20.62	Professional		$19.89	$20.62	$20.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $41.99 / $68.25	Facility		$17.75	$41.99	$68.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.68 / $16.42	Professional		$12.04	$13.68	$16.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $24.19 / $24.19	Facility		$24.19	$24.19	$24.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $23.87 / $26.85	Facility		$19.89	$23.87	$26.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $25.83 / $25.83	Professional		$25.83	$25.83	$25.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $27.99 / $35.51	Professional		$19.89	$27.99	$35.51
United Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64