Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $269.15 / $269.15	Facility		$56.23	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $123.03	Professional		$56.23	$69.18	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $575.44 / $1,122.02	Facility		$309.03	$575.44	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $251.19	Professional		$67.61	$141.25	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $302.00 / $1,202.26	Facility		$46.77	$302.00	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $186.21	Professional		$63.10	$102.33	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $102.33 / $194.98	Facility		$60.26	$102.33	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,000.00 / $1,513.56	Facility		$229.09	$1,000.00	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $204.17	Professional		$69.18	$97.72	$204.17