Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.37 / $59.37 / $240.03	Facility		$59.37	$59.37	$240.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $60.09 / $64.59	Professional		$57.92	$60.09	$64.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.59 / $75.64 / $139.19	Facility		$43.59	$75.64	$139.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $69.70 / $87.84	Professional		$65.67	$69.70	$87.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $87.12	Facility		$61.54	$61.54	$87.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.38 / $60.09 / $100.93	Facility		$45.38	$60.09	$100.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $45.38 / $111.93	Professional		$45.38	$45.38	$111.93
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 $51.29 / $63.96 / $73.86	Professional		$51.29	$63.96	$73.86