Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $162.18	Professional		$60.26	$85.11	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $218.78	Professional		$109.65	$186.21	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $91.20 / $251.19	Facility		$83.18	$91.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $162.18	Professional		$66.07	$66.07	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $102.33	Professional		$83.18	$91.20	$102.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $234.42	Facility		$77.62	$123.03	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $125.89	Professional		$30.20	$30.20	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $190.55	Facility		$39.81	$79.43	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $112.20	Professional		$57.54	$89.13	$112.20