Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Facility		$14.05	$14.05	$14.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Professional		$14.05	$14.05	$14.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.15 / $6.49	Professional		$4.00	$5.15	$6.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $30.00	Facility		$10.75	$10.75	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.75 / $10.75	Professional		$7.85	$10.75	$10.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $18.97	Facility		$14.05	$14.05	$18.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00