Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.52 / $114.52 / $114.52	Facility		$114.52	$114.52	$114.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $114.52 / $202.60	Professional		$109.88	$114.52	$202.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $170.19 / $245.26	Professional		$135.00	$170.19	$245.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $166.23 / $183.54	Facility		$103.04	$166.23	$183.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $139.13 / $166.23	Professional		$121.35	$139.13	$166.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $166.00 / $363.38	Facility		$102.96	$166.00	$363.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $140.00	Professional		$130.00	$130.00	$140.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $156.34	Professional		$156.34	$156.34	$156.34
United Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $114.40 / $155.61	Professional		$78.17	$114.40	$155.61