Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $123.03	Professional		$70.79	$95.50	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $2,137.96	Professional		$117.49	$165.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $257.04	Facility		$117.49	$154.88	$257.04
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 $125.89 / $194.98 / $2,511.89	Professional		$125.89	$194.98	$2,511.89