Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $30.98 / $125.25	Facility		$30.98	$30.98	$125.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $169.36 / $189.23	Professional		$30.98	$169.36	$189.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.20 / $180.42 / $297.05	Facility		$83.20	$180.42	$297.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.95 / $492.61 / $641.35	Facility		$283.95	$492.61	$641.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $37.09 / $39.04	Professional		$24.02	$37.09	$39.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $168.19 / $186.99	Facility		$30.98	$168.19	$186.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $643.34 / $643.34 / $643.34	Professional		$643.34	$643.34	$643.34
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 Facility Modifier Low / Median / High Price $108.97 / $108.97 / $123.98	Facility		$108.97	$108.97	$123.98
United Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $194.16 / $359.97	Professional		$56.72	$194.16	$359.97