Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $375.20 / $580.08	Facility		$82.84	$375.20	$580.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $87.34 / $176.41	Professional		$82.53	$87.34	$176.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.39 / $212.05 / $377.66	Facility		$117.39	$212.05	$377.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $99.75 / $167.04	Professional		$89.33	$99.75	$167.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $317.70 / $442.75	Facility		$264.39	$317.70	$442.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $119.95 / $205.34	Professional		$89.46	$119.95	$205.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.81 / $130.52 / $235.05	Facility		$87.81	$130.52	$235.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.07 / $363.07 / $363.07	Professional		$363.07	$363.07	$363.07
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 $87.16 / $113.49 / $185.08	Professional		$87.16	$113.49	$185.08