Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $101.83 / $101.83	Facility		$101.83	$101.83	$101.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $101.83 / $180.16	Professional		$92.57	$101.83	$180.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $147.68 / $218.08	Professional		$120.00	$147.68	$218.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.63 / $142.94 / $157.82	Facility		$91.63	$142.94	$157.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $123.72 / $142.94	Professional		$104.35	$123.72	$142.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $148.00 / $321.69	Facility		$91.56	$148.00	$321.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $124.00	Professional		$116.00	$116.00	$124.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.03 / $139.03 / $139.03	Professional		$139.03	$139.03	$139.03
United Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $99.79 / $134.52	Professional		$68.43	$99.79	$134.52