Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $69.18 / $153.00	Professional		$65.88	$69.18	$153.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $114.00 / $138.47	Professional		$65.88	$114.00	$138.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $65.88 / $65.88	Facility		$62.15	$65.88	$65.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $117.61 / $180.00	Facility		$69.18	$117.61	$180.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $169.58 / $169.58	Professional		$169.58	$169.58	$169.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $67.85 / $147.60	Professional		$64.75	$67.85	$147.60
United Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $65.88 / $70.48	Professional		$62.59	$65.88	$70.48