Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $138.50 / $842.08	Facility		$124.29	$138.50	$842.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $138.50 / $154.47	Professional		$138.50	$138.50	$154.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.13 / $1,093.13 / $1,168.21	Facility		$1,093.13	$1,093.13	$1,168.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $242.81	Professional		$177.56	$177.56	$242.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.69 / $514.73 / $1,012.38	Facility		$322.69	$514.73	$1,012.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $84.40 / $255.03	Professional		$80.15	$84.40	$255.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $159.80 / $186.44	Facility		$124.29	$159.80	$186.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $93.75 / $110.96	Professional		$93.75	$93.75	$110.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $97.66 / $140.63	Professional		$97.66	$97.66	$140.63
United Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $101.28 / $177.56	Professional		$51.56	$101.28	$177.56