Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $218.78	Professional		$109.65	$154.88	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $309.03	Professional		$151.36	$257.04	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $446.68	Facility		$114.82	$162.18	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $354.81	Professional		$117.49	$117.49	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $173.78	Professional		$154.88	$173.78	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $407.38	Facility		$114.82	$194.98	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $85.11	Professional		$83.18	$83.18	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $173.78	Professional		$30.20	$30.20	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $194.98 / $354.81	Facility		$104.71	$194.98	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $194.98	Professional		$100.00	$128.82	$194.98