Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $363.08 / $407.38	Facility		$100.00	$363.08	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $123.03	Professional		$97.72	$100.00	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.89 / $190.55	Facility		$5.13	$5.89	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $147.91	Professional		$120.23	$128.82	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $100.00 / $134.90	Facility		$4.37	$100.00	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $141.25	Professional		$21.88	$30.20	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $134.90	Professional		$123.03	$123.03	$134.90