Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $138.85 / $329.39	Facility		$93.81	$138.85	$329.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $114.44 / $144.41	Professional		$80.36	$114.44	$144.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.74 / $616.46 / $983.98	Facility		$330.74	$616.46	$983.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $109.25 / $167.04	Professional		$79.50	$109.25	$167.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $116.35 / $140.37	Facility		$100.00	$116.35	$140.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $140.75 / $231.16	Professional		$94.98	$140.75	$231.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $140.02 / $223.52	Facility		$93.81	$140.02	$223.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $106.94 / $106.94	Professional		$106.94	$106.94	$106.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $127.18 / $278.75	Professional		$98.30	$127.18	$278.75