Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.08 / $96.08 / $96.08	Facility		$96.08	$96.08	$96.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $96.08 / $169.98	Professional		$92.19	$96.08	$169.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $127.33 / $205.77	Professional		$101.00	$127.33	$205.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $107.78 / $118.99	Facility		$32.40	$107.78	$118.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $116.74	Professional		$78.68	$107.78	$116.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $129.71 / $304.87	Facility		$58.46	$129.71	$304.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Professional		$112.00	$112.00	$112.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.17 / $131.17 / $131.17	Professional		$131.17	$131.17	$131.17
United Facility/Professional Facility Modifier Low / Median / High Price $58.33 / $99.63 / $129.66	Facility		$58.33	$99.63	$129.66
United Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $92.53 / $116.74	Professional		$64.56	$92.53	$116.74