Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $238.98 / $238.98	Professional		$238.98	$238.98	$238.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $255.00 / $321.48	Professional		$204.00	$255.00	$321.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $180.13 / $231.77	Facility		$180.13	$180.13	$231.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $180.13 / $180.13	Professional		$153.11	$180.13	$180.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $227.98 / $238.98 / $286.77	Facility		$227.98	$238.98	$286.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $287.22 / $287.22 / $287.22	Professional		$287.22	$287.22	$287.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $70.00	Professional		$30.00	$30.00	$70.00