Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $489.78 / $537.03	Facility		$131.83	$489.78	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $186.21	Professional		$128.82	$138.04	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $169.82 / $186.21	Facility		$151.36	$169.82	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $194.98	Professional		$162.18	$169.82	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $147.91 / $181.97	Facility		$120.23	$147.91	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $363.08	Professional		$331.13	$331.13	$363.08