Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.68 / $182.68 / $182.68	Facility		$182.68	$182.68	$182.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $182.68 / $303.94	Professional		$182.68	$182.68	$303.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $295.37 / $432.86	Professional		$240.00	$295.37	$432.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.87 / $299.52 / $330.69	Facility		$181.87	$299.52	$330.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $245.57 / $299.52	Professional		$218.65	$245.57	$299.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.72 / $293.00 / $641.34	Facility		$181.72	$293.00	$641.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $247.00	Professional		$230.00	$230.00	$247.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.94 / $275.94 / $275.94	Professional		$275.94	$275.94	$275.94
United Facility/Professional Facility Modifier Low / Median / High Price $544.49 / $544.49 / $544.49	Facility		$544.49	$544.49	$544.49
United Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $203.73 / $306.95	Professional		$155.47	$203.73	$306.95