Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.64 / $70.64 / $70.64	Facility		$70.64	$70.64	$70.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $70.64 / $85.00	Professional		$67.27	$70.64	$85.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $140.80 / $174.73	Professional		$67.27	$140.80	$174.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $67.27 / $67.27	Facility		$63.47	$67.27	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $81.23 / $206.91	Facility		$42.28	$81.23	$206.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $69.32 / $73.30	Professional		$66.02	$69.32	$73.30
United Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $67.27 / $74.00	Professional		$60.54	$67.27	$74.00