Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $29.94 / $121.05	Facility		$29.94	$29.94	$121.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.80 / $32.61	Professional		$28.52	$28.80	$32.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $41.07 / $72.95	Facility		$22.84	$41.07	$72.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $36.46 / $43.33	Professional		$28.52	$36.46	$43.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $28.52 / $34.22	Facility		$26.90	$28.52	$34.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $28.52 / $45.67	Facility		$26.87	$28.52	$45.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $26.87 / $59.34	Professional		$26.87	$26.87	$59.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $31.47 / $35.65	Professional		$28.52	$31.47	$35.65
United Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $30.23 / $33.08	Professional		$24.24	$30.23	$33.08