Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.05 / $28.05 / $137.06	Facility		$28.05	$28.05	$137.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $28.05 / $33.90	Professional		$26.71	$28.05	$33.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $89.00 / $167.51	Facility		$46.30	$89.00	$167.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $50.63 / $64.56	Professional		$26.71	$50.63	$64.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $26.71 / $41.33	Facility		$25.20	$26.71	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $32.75	Professional		$26.71	$26.71	$32.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.05 / $47.91 / $81.81	Facility		$28.05	$47.91	$81.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $47.91 / $60.81	Professional		$40.90	$47.91	$60.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $33.90 / $75.80	Professional		$28.04	$33.90	$75.80
United Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $30.32 / $50.03	Facility		$30.32	$30.32	$50.03
United Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $28.31 / $31.13	Professional		$22.70	$28.31	$31.13