Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $41.28 / $41.28	Facility		$41.28	$41.28	$41.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $41.28 / $44.67	Professional		$39.31	$41.28	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.80 / $230.80 / $230.80	Facility		$230.80	$230.80	$230.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $102.75 / $144.13	Professional		$39.31	$102.75	$144.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $39.31 / $39.31	Facility		$37.09	$39.31	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $132.78 / $335.13	Facility		$41.28	$132.78	$335.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $132.78 / $132.78	Professional		$132.78	$132.78	$132.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $39.31 / $43.24	Professional		$37.34	$39.31	$43.24