Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.48 / $217.48 / $875.03	Facility		$217.48	$217.48	$875.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.30 / $208.19 / $225.77	Professional		$188.30	$208.19	$225.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $204.61 / $355.92	Facility		$138.69	$204.61	$355.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $235.13 / $283.25	Professional		$207.13	$235.13	$283.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $207.13 / $245.88	Facility		$195.40	$207.13	$245.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $214.94	Professional		$207.13	$207.13	$214.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.95 / $207.13 / $334.13	Facility		$166.95	$207.13	$334.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $166.95 / $315.39	Professional		$166.95	$166.95	$315.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.72 / $216.43 / $512.60	Professional		$200.72	$216.43	$512.60
United Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $207.00 / $207.00	Facility		$207.00	$207.00	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $219.56 / $230.58	Professional		$180.20	$219.56	$230.58