Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $104.71	Professional		$50.12	$61.66	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $141.25	Professional		$70.79	$120.23	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $85.11 / $204.17	Facility		$53.70	$85.11	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $138.04	Professional		$61.66	$61.66	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $87.10	Professional		$57.54	$77.62	$87.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $97.72 / $199.53	Facility		$58.88	$97.72	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $81.28	Professional		$30.20	$30.20	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $66.07 / $154.88	Facility		$48.98	$66.07	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $75.86	Professional		$45.71	$58.88	$75.86