Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.59 / $141.59 / $141.59	Facility		$141.59	$141.59	$141.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.60 / $147.72 / $190.05	Professional		$136.60	$147.72	$190.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $195.10 / $266.80	Professional		$158.47	$195.10	$266.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $188.67 / $188.67	Professional		$188.67	$188.67	$188.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.51 / $162.68 / $282.20	Facility		$114.51	$162.68	$282.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $162.68 / $162.68	Professional		$162.68	$162.68	$162.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $208.78 / $261.61	Professional		$160.01	$208.78	$261.61
United Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $181.14 / $325.07	Professional		$145.91	$181.14	$325.07