Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $28.18	Professional		$14.13	$16.98	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $117.49	Professional		$83.18	$93.33	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $54.95 / $87.10	Facility		$10.72	$54.95	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $54.95	Professional		$39.81	$39.81	$54.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.38 / $53.70	Facility		$14.45	$21.38	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.14	Professional		$12.88	$12.88	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $22.91 / $51.29	Facility		$0.03	$22.91	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $29.51	Professional		$12.02	$18.20	$29.51