Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.84 / $192.60 / $2,995.02	Facility		$172.84	$192.60	$2,995.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.63 / $197.54 / $246.92	Professional		$178.63	$197.54	$246.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.51 / $1,520.14 / $1,624.54	Facility		$316.51	$1,520.14	$1,624.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $147.54 / $297.14	Professional		$111.00	$147.54	$297.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $608.29 / $1,407.91	Facility		$38.36	$608.29	$1,407.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $322.02	Professional		$59.04	$60.16	$322.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.66 / $212.35 / $316.98	Facility		$187.66	$212.35	$316.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $215.23 / $215.23 / $215.23	Professional		$215.23	$215.23	$215.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $135.81 / $195.56	Professional		$135.81	$135.81	$195.56
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $129.13 / $246.92	Professional		$103.71	$129.13	$246.92