Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $76.88 / $310.83	Facility		$76.88	$76.88	$310.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $79.69 / $79.69	Professional		$76.88	$79.69	$79.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $162.72 / $270.75	Facility		$77.86	$162.72	$270.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $93.73 / $112.48	Professional		$82.50	$93.73	$112.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.89 / $84.57 / $119.10	Facility		$71.89	$84.57	$119.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $90.69	Professional		$90.69	$90.69	$90.69