Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $158.72 / $965.08	Facility		$142.44	$158.72	$965.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $158.72 / $177.05	Professional		$158.72	$158.72	$177.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,252.83 / $1,252.83 / $1,338.88	Facility		$1,252.83	$1,252.83	$1,338.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $222.00 / $295.08	Professional		$203.50	$222.00	$295.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.85 / $501.34 / $1,160.35	Facility		$369.85	$501.34	$1,160.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.46 / $103.00 / $689.02	Professional		$92.46	$103.00	$689.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $221.66 / $350.02	Facility		$158.72	$221.66	$350.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $111.93 / $111.93	Professional		$111.93	$111.93	$111.93
United Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Facility		$203.50	$203.50	$203.50
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $122.10 / $188.41	Professional		$85.47	$122.10	$188.41