Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $28.86 / $28.86	Facility		$28.86	$28.86	$28.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $28.86 / $31.61	Professional		$21.30	$28.86	$31.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $38.00 / $66.81	Professional		$36.10	$38.00	$66.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $42.30 / $42.30	Facility		$42.30	$42.30	$42.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $34.36 / $63.18	Facility		$28.86	$34.36	$63.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $34.32 / $34.32	Professional		$34.32	$34.32	$34.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $17.20 / $20.84	Professional		$12.01	$17.20	$20.84