Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $588.84	Facility		$302.00	$302.00	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $346.74	Professional		$275.42	$302.00	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $331.13	Facility		$107.15	$186.21	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $223.87	Professional		$158.49	$173.78	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $331.13 / $426.58	Facility		$263.03	$331.13	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $218.78 / $331.13	Facility		$50.12	$218.78	$331.13