Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $11,346.03 / $11,346.03	Facility		$143.50	$11,346.03	$11,346.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $138.03 / $164.84	Professional		$118.11	$138.03	$164.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $131.29 / $217.90	Facility		$80.84	$131.29	$217.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $151.55 / $184.09	Professional		$136.66	$151.55	$184.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $136.66 / $159.50	Facility		$128.93	$136.66	$159.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $141.82	Professional		$136.66	$136.66	$141.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.64 / $136.66 / $220.99	Facility		$102.64	$136.66	$220.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $102.64 / $198.75	Professional		$102.64	$102.64	$198.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $138.45 / $321.37	Professional		$128.69	$138.45	$321.37
United Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $144.87 / $157.16	Professional		$116.17	$144.87	$157.16