Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $4,230.00 / $9,870.00	Facility		$65.18	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $152.65 / $220.98	Professional		$63.82	$152.65	$220.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.55 / $405.05 / $629.99	Facility		$209.55	$405.05	$629.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $165.00 / $219.32	Professional		$49.46	$165.00	$219.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.54 / $175.54 / $175.54	Facility		$175.54	$175.54	$175.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $114.17 / $193.10	Professional		$61.57	$114.17	$193.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $157.37 / $364.00	Facility		$62.41	$157.37	$364.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $129.19 / $177.11	Professional		$103.87	$129.19	$177.11
United Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $153.06 / $231.42	Professional		$116.46	$153.06	$231.42