Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.71 / $99.71 / $99.71	Facility		$99.71	$99.71	$99.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $99.71 / $107.51	Professional		$93.81	$99.71	$107.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.71 / $1,273.74 / $2,082.69	Facility		$689.71	$1,273.74	$2,082.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $255.00 / $338.95	Professional		$109.73	$255.00	$338.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.67 / $723.86 / $1,127.00	Facility		$180.67	$723.86	$1,127.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $185.33 / $302.77	Professional		$127.66	$185.33	$302.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $258.00 / $365.52	Facility		$109.68	$258.00	$365.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $64.93 / $64.93	Professional		$64.93	$64.93	$64.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $78.17 / $173.75	Professional		$29.53	$78.17	$173.75
United Facility/Professional Facility Modifier Low / Median / High Price $249.62 / $249.62 / $249.62	Facility		$249.62	$249.62	$249.62
United Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $171.92 / $272.00	Professional		$120.18	$171.92	$272.00