Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $114.82	Professional		$57.54	$79.43	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $154.88	Professional		$77.62	$131.83	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $102.33 / $239.88	Facility		$58.88	$102.33	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $181.97	Professional		$75.86	$75.86	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $91.20	Professional		$81.28	$89.13	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $112.20 / $208.93	Facility		$64.57	$112.20	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $42.66	Professional		$41.69	$41.69	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $89.13	Professional		$30.20	$30.20	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $177.83	Facility		$64.57	$77.62	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $89.13	Professional		$51.29	$66.07	$89.13