Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $422.91 / $422.91	Facility		$12.96	$422.91	$422.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.96 / $23.44	Professional		$12.00	$12.96	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $15.38 / $30.91	Professional		$12.50	$15.38	$30.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $22.22 / $22.22	Facility		$18.75	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.22 / $23.50	Professional		$16.22	$22.22	$23.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $20.94 / $48.11	Facility		$12.00	$20.94	$48.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $17.00 / $17.00	Professional		$16.00	$17.00	$17.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Professional		$9.71	$9.71	$9.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $14.04 / $18.48	Professional		$9.51	$14.04	$18.48