Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $91.20	Professional		$51.29	$69.18	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $144.54	Professional		$107.15	$117.49	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $173.78	Facility		$58.88	$85.11	$173.78
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 Professional Modifier Low / Median / High Price $89.13 / $91.20 / $125.89	Professional		$89.13	$91.20	$125.89