Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $22.38 / $361.82	Facility		$22.38	$22.38	$361.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $159.31 / $376.93	Professional		$21.92	$159.31	$376.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.35 / $566.02 / $951.72	Facility		$262.35	$566.02	$951.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $69.90 / $356.24	Professional		$19.60	$69.90	$356.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $89.33 / $460.45	Professional		$23.47	$89.33	$460.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $54.11 / $405.78	Facility		$21.84	$54.11	$405.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $322.49 / $436.99	Professional		$254.59	$322.49	$436.99
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $240.00 / $311.52	Professional		$36.74	$240.00	$311.52