Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $363.08	Professional		$181.97	$239.88	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $489.78	Professional		$239.88	$416.87	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $275.42 / $758.58	Facility		$186.21	$275.42	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $562.34	Professional		$199.53	$199.53	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $275.42	Professional		$218.78	$251.19	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $691.83	Facility		$204.17	$323.59	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $281.84	Professional		$30.20	$30.20	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $562.34	Facility		$204.17	$257.04	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $275.42	Professional		$158.49	$204.17	$275.42