Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $236.15 / $395.62	Professional		$225.00	$236.15	$395.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.70 / $223.29 / $223.29	Facility		$48.70	$223.29	$223.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $238.00	Facility		$140.00	$140.00	$238.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $1,191.00 / $1,191.00	Professional		$270.00	$1,191.00	$1,191.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $170.65 / $255.97	Professional		$113.76	$170.65	$255.97