Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.64 / $204.64 / $204.64	Facility		$204.64	$204.64	$204.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.97 / $204.64 / $362.04	Professional		$201.97	$204.64	$362.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $295.37 / $438.27	Professional		$240.00	$295.37	$438.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.15 / $273.20 / $301.63	Facility		$184.15	$273.20	$301.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $248.64 / $273.20	Professional		$199.44	$248.64	$273.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.99 / $297.00 / $649.34	Facility		$183.99	$297.00	$649.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $250.00	Professional		$232.00	$232.00	$250.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $279.39 / $279.39	Professional		$279.39	$279.39	$279.39
United Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $204.43 / $278.08	Professional		$137.52	$204.43	$278.08