Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $181.97	Professional		$87.10	$107.15	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $245.47	Professional		$134.90	$204.17	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $147.91 / $338.84	Facility		$26.92	$147.91	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $239.88	Professional		$107.15	$107.15	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $138.04	Professional		$104.71	$123.03	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $331.13	Facility		$102.33	$154.88	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $141.25	Professional		$30.20	$30.20	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $257.04	Facility		$93.33	$109.65	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $131.83	Professional		$77.62	$104.71	$131.83