Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.33 / $180.33 / $729.07	Facility		$180.33	$180.33	$729.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.33 / $186.93 / $186.93	Professional		$180.33	$186.93	$186.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.06 / $241.86 / $454.86	Facility		$38.06	$241.86	$454.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.53 / $219.92 / $263.89	Professional		$193.53	$219.92	$263.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $198.36 / $243.45	Facility		$3.35	$198.36	$243.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $219.14 / $219.14	Professional		$219.14	$219.14	$219.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.33 / $180.33 / $225.41	Professional		$180.33	$180.33	$225.41
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26