Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.94 / $66.94 / $66.94	Facility		$66.94	$66.94	$66.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $66.94 / $73.31	Professional		$39.04	$66.94	$73.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $87.91 / $152.97	Professional		$83.72	$87.91	$152.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $76.98 / $145.97	Facility		$55.78	$76.98	$145.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $61.83 / $61.83	Professional		$61.83	$61.83	$61.83
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 $27.84 / $39.90 / $48.35	Professional		$27.84	$39.90	$48.35