Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.29 / $69.29 / $69.29	Facility		$69.29	$69.29	$69.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $71.38 / $94.02	Professional		$66.45	$71.38	$94.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $105.64 / $144.46	Professional		$77.00	$105.64	$144.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $102.67 / $102.67	Professional		$102.67	$102.67	$102.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.16 / $76.43 / $140.27	Facility		$54.16	$76.43	$140.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $76.43 / $76.43	Professional		$76.43	$76.43	$76.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $139.19 / $174.40	Professional		$106.67	$139.19	$174.40
United Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $87.89 / $149.58	Professional		$68.79	$87.89	$149.58