Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $69.98 / $69.98	Facility		$69.98	$69.98	$69.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $72.23 / $89.09	Professional		$61.19	$72.23	$89.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.39 / $214.50 / $377.66	Facility		$117.39	$214.50	$377.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $100.00 / $156.88	Professional		$75.93	$100.00	$156.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.77 / $274.29 / $442.75	Facility		$222.77	$274.29	$442.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $94.05 / $156.85	Professional		$68.80	$94.05	$156.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $95.85 / $202.41	Facility		$74.28	$95.85	$202.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $305.14 / $305.14 / $305.14	Professional		$305.14	$305.14	$305.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $83.61 / $137.35	Professional		$44.14	$83.61	$137.35
United Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $84.81 / $148.97	Professional		$62.24	$84.81	$148.97