Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.81 / $136.81 / $136.81	Facility		$136.81	$136.81	$136.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $136.81 / $227.62	Professional		$136.81	$136.81	$227.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $221.53 / $324.17	Professional		$180.00	$221.53	$324.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $197.02 / $217.53	Facility		$136.19	$197.02	$217.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $183.91 / $197.02	Professional		$143.82	$183.91	$197.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.09 / $220.00 / $480.28	Facility		$136.09	$220.00	$480.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $185.00	Professional		$172.00	$172.00	$185.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.65 / $206.65 / $206.65	Professional		$206.65	$206.65	$206.65
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $152.57 / $229.88	Professional		$116.43	$152.57	$229.88