Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.94 / $227.94 / $921.56	Facility		$227.94	$227.94	$921.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $217.09 / $227.94	Professional		$198.86	$217.09	$227.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.44 / $224.55 / $356.88	Facility		$147.44	$224.55	$356.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $239.29 / $290.64	Professional		$217.09	$239.29	$290.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $204.80 / $217.09	Facility		$204.80	$204.80	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $225.28	Professional		$217.09	$217.09	$225.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.18 / $217.09 / $351.98	Facility		$170.18	$217.09	$351.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.18 / $170.18 / $272.75	Professional		$170.18	$170.18	$272.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.87 / $220.18 / $518.75	Professional		$217.87	$220.18	$518.75
United Facility/Professional Professional Modifier Low / Median / High Price $184.53 / $230.12 / $243.60	Professional		$184.53	$230.12	$243.60