Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.63 / $396.63 / $1,603.58	Facility		$396.63	$396.63	$1,603.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $401.47 / $411.15	Professional		$386.96	$401.47	$411.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.77 / $502.62 / $895.81	Facility		$276.77	$502.62	$895.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.57 / $473.31 / $586.85	Professional		$442.57	$473.31	$586.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $334.32 / $396.63 / $604.11	Facility		$334.32	$396.63	$604.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $334.32 / $334.32 / $747.72	Professional		$334.32	$334.32	$747.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.68 / $427.26 / $448.71	Professional		$350.68	$427.26	$448.71