Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.66 / $174.66 / $174.66	Facility		$174.66	$174.66	$174.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.66 / $174.66 / $189.39	Professional		$174.66	$174.66	$189.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.87 / $863.23 / $1,767.80	Facility		$456.87	$863.23	$1,767.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $186.84 / $257.83	Professional		$160.00	$186.84	$257.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $668.43 / $1,251.76 / $2,020.54	Facility		$668.43	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $239.06 / $415.27	Professional		$159.94	$239.06	$415.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.00 / $215.39 / $582.98	Facility		$166.00	$215.39	$582.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $184.17 / $269.68	Professional		$41.02	$184.17	$269.68
United Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $232.06 / $390.02	Professional		$174.52	$232.06	$390.02