Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $3.81 / $3.81	Facility		$3.81	$3.81	$3.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.81 / $13.25	Professional		$3.62	$3.81	$13.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $31.14 / $49.60	Facility		$13.76	$31.14	$49.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $23.90 / $30.51	Professional		$3.78	$23.90	$30.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $3.63	Facility		$3.43	$3.43	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $4.57 / $27.94	Facility		$3.81	$4.57	$27.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $31.54 / $31.54	Professional		$31.54	$31.54	$31.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $7.27 / $28.63	Professional		$3.77	$7.27	$28.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63