Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $112.20	Professional		$56.23	$75.86	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $151.36	Professional		$75.86	$128.82	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $104.71 / $229.09	Facility		$56.23	$104.71	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $169.82	Professional		$75.86	$75.86	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $107.15	Professional		$85.11	$95.50	$107.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $109.65 / $234.42	Facility		$63.10	$109.65	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $75.86 / $173.78	Facility		$63.10	$75.86	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $85.11	Professional		$48.98	$63.10	$85.11