Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.44 / $105.44 / $105.44	Facility		$105.44	$105.44	$105.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $105.44 / $211.63	Professional		$105.44	$105.44	$211.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $224.54 / $294.98	Professional		$174.00	$224.54	$294.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $210.68 / $221.25	Facility		$144.00	$210.68	$221.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $188.88 / $210.68	Professional		$153.80	$188.88	$210.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.44 / $130.75 / $327.58	Facility		$105.44	$130.75	$327.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $231.00 / $231.00	Professional		$231.00	$231.00	$231.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $129.96 / $211.40	Professional		$87.74	$129.96	$211.40