Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $117.49	Professional		$61.66	$72.44	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $186.21	Professional		$95.50	$158.49	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $234.42	Facility		$70.79	$100.00	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $165.96	Professional		$72.44	$72.44	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $85.11	Professional		$72.44	$75.86	$85.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $251.19	Facility		$69.18	$112.20	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $107.15	Professional		$30.20	$30.20	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $169.82	Facility		$74.13	$93.33	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $97.72	Professional		$52.48	$77.62	$97.72