Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.96 / $830.04 / $1,069.73	Facility		$96.96	$830.04	$1,069.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $96.96 / $110.88	Professional		$96.96	$96.96	$110.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $51.24 / $86.99	Facility		$29.22	$51.24	$86.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.99 / $23.07 / $629.51	Facility		$7.99	$23.07	$629.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $63.91 / $149.19	Professional		$49.01	$63.91	$149.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $99.91 / $144.25	Facility		$70.48	$99.91	$144.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $88.12 / $126.41	Professional		$86.31	$88.12	$126.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $601.25 / $643.94 / $5,240.26	Facility		$601.25	$643.94	$5,240.26
United Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $75.43 / $158.69	Professional		$42.65	$75.43	$158.69