Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.52 / $125.52 / $125.52	Facility		$125.52	$125.52	$125.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $127.45 / $151.54	Professional		$100.33	$127.45	$151.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,792.88 / $4,550.16 / $11,396.72	Facility		$1,792.88	$4,550.16	$11,396.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $527.00 / $821.95	Professional		$139.69	$527.00	$821.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.84 / $8,377.77 / $15,826.73	Facility		$458.84	$8,377.77	$15,826.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.68 / $263.39 / $652.00	Professional		$164.68	$263.39	$652.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.44 / $463.55 / $835.00	Facility		$143.44	$463.55	$835.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.15 / $157.15 / $541.29	Professional		$157.15	$157.15	$541.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $118.03 / $177.87	Professional		$44.14	$118.03	$177.87
United Facility/Professional Professional Modifier Low / Median / High Price $153.68 / $216.41 / $554.36	Professional		$153.68	$216.41	$554.36