Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $52.54 / $319.44	Facility		$47.15	$52.54	$319.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $52.54 / $58.60	Professional		$52.54	$52.54	$58.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $60.17 / $460.75	Facility		$35.04	$60.17	$460.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $48.69 / $81.06	Professional		$40.00	$48.69	$81.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.41 / $195.26 / $406.94	Facility		$122.41	$195.26	$406.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $42.20 / $96.54	Professional		$34.18	$42.20	$96.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $60.66 / $125.15	Facility		$47.15	$60.66	$125.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $78.86 / $96.47	Professional		$62.19	$78.86	$96.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $53.35	Professional		$37.04	$37.04	$53.35
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.42 / $90.99	Professional		$28.29	$40.42	$90.99