Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $229.09	Professional		$123.03	$158.49	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $338.84	Professional		$169.82	$288.40	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $501.19	Facility		$128.82	$169.82	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $371.54	Professional		$125.89	$125.89	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $239.88	Professional		$144.54	$213.80	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $218.78 / $512.86	Facility		$128.82	$218.78	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $89.13	Professional		$87.10	$87.10	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.17 / $371.54	Facility		$144.54	$204.17	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $204.17	Professional		$112.20	$141.25	$204.17