Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.38 / $187.38 / $187.38	Facility		$187.38	$187.38	$187.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.38 / $187.38 / $331.51	Professional		$187.38	$187.38	$331.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $270.75 / $401.31	Professional		$220.00	$270.75	$401.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.62 / $236.57 / $261.19	Facility		$168.62	$236.57	$261.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $227.67 / $236.57	Professional		$172.70	$227.67	$236.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $272.00 / $594.58	Facility		$168.47	$272.00	$594.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $213.00 / $229.00	Professional		$213.00	$213.00	$229.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.83 / $255.83 / $255.83	Professional		$255.83	$255.83	$255.83
United Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $187.19 / $254.63	Professional		$127.18	$187.19	$254.63