Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $302.00	Professional		$144.54	$177.83	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $407.38	Professional		$120.23	$346.74	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $549.54	Facility		$194.98	$194.98	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $398.11	Professional		$141.25	$141.25	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $223.87	Professional		$173.78	$173.78	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $562.34	Facility		$165.96	$251.19	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $100.00	Professional		$97.72	$97.72	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $234.42	Professional		$30.20	$30.20	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $177.83 / $416.87	Facility		$0.25	$177.83	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $218.78	Professional		$128.82	$169.82	$218.78