Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $398.11 / $1,096.48	Facility		$128.82	$398.11	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $239.88	Professional		$104.71	$144.54	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $257.04 / $457.09	Facility		$144.54	$257.04	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $131.83 / $190.55	Professional		$53.70	$131.83	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $190.55	Facility		$100.00	$112.20	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $295.12	Professional		$114.82	$177.83	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $323.59	Professional		$245.47	$245.47	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $173.78 / $295.12	Facility		$114.82	$173.78	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,174.90 / $3,548.13	Facility		$354.81	$1,174.90	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $239.88	Professional		$100.00	$141.25	$239.88