Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.49 / $138.49 / $138.49	Facility		$138.49	$138.49	$138.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $138.12 / $138.49	Professional		$131.90	$138.12	$138.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.14 / $198.14 / $198.14	Facility		$198.14	$198.14	$198.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $372.65 / $491.42	Professional		$131.90	$372.65	$491.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $131.90 / $131.90	Facility		$124.43	$131.90	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.12 / $218.24 / $383.87	Facility		$138.12	$218.24	$383.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $333.74 / $333.74	Professional		$333.74	$333.74	$333.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.49 / $150.00 / $173.76	Professional		$138.49	$150.00	$173.76
United Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $131.90 / $145.09	Professional		$121.35	$131.90	$145.09