Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.69 / $230.22 / $331.42	Professional		$219.69	$230.22	$331.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $500.00 / $630.37	Professional		$400.00	$500.00	$630.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.10 / $182.10 / $182.10	Facility		$182.10	$182.10	$182.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $354.68 / $491.25	Professional		$354.68	$354.68	$491.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.41 / $230.22 / $379.61	Facility		$213.41	$230.22	$379.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Professional		$375.00	$375.00	$375.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.46 / $253.36 / $362.46	Professional		$197.46	$253.36	$362.46