Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $158.63 / $158.63	Facility		$158.63	$158.63	$158.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $158.63 / $173.34	Professional		$158.63	$158.63	$173.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.31 / $527.79 / $1,240.48	Facility		$295.31	$527.79	$1,240.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $152.96 / $209.92	Professional		$117.00	$152.96	$209.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.73 / $1,251.76 / $2,020.54	Facility		$547.73	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $194.91 / $331.21	Professional		$116.41	$194.91	$331.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $177.73 / $459.08	Facility		$121.00	$177.73	$459.08
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 $114.24 / $147.66 / $200.36	Professional		$114.24	$147.66	$200.36
United Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $202.10 / $346.30	Professional		$140.05	$202.10	$346.30