Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $26.93 / $26.93	Facility		$26.93	$26.93	$26.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.93 / $29.49	Professional		$19.88	$26.93	$29.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $35.36 / $61.54	Professional		$33.68	$35.36	$61.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $32.06 / $58.94	Facility		$26.04	$32.06	$58.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $29.53 / $29.53	Professional		$29.53	$29.53	$29.53
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 $11.20 / $16.05 / $19.44	Professional		$11.20	$16.05	$19.44