Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.57 / $124.57 / $124.57	Facility		$124.57	$124.57	$124.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $207.26	Professional		$124.57	$124.57	$207.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $208.03 / $295.17	Professional		$165.00	$208.03	$295.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.54 / $177.64 / $196.13	Facility		$59.54	$177.64	$196.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $167.46 / $177.64	Professional		$129.68	$167.46	$177.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.91 / $200.00 / $437.32	Facility		$123.91	$200.00	$437.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $168.00	Professional		$157.00	$157.00	$168.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $188.16 / $188.16	Professional		$188.16	$188.16	$188.16
United Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $138.91 / $209.31	Professional		$106.02	$138.91	$209.31