Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $275.42 / $275.42	Professional		$104.71	$275.42	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $331.13	Facility		$107.15	$186.21	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $275.42 / $371.54	Facility		$104.71	$275.42	$371.54
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 $288.40 / $707.95 / $1,096.48	Facility		$288.40	$707.95	$1,096.48