Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.60 / $393.60 / $393.60	Facility		$393.60	$393.60	$393.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $393.60 / $408.00	Professional		$384.00	$393.60	$408.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $480.00 / $576.00	Professional		$422.40	$480.00	$576.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.75 / $408.00 / $661.25	Facility		$213.75	$408.00	$661.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $213.75 / $213.75	Professional		$213.75	$213.75	$213.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $344.40	Professional		$30.00	$55.00	$344.40
United Facility/Professional Professional Modifier Low / Median / High Price $441.60 / $480.00 / $528.00	Professional		$441.60	$480.00	$528.00