Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Facility		$55.65	$55.65	$55.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $55.65 / $159.25	Professional		$53.00	$55.65	$159.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $944.03 / $1,315.50	Professional		$53.00	$944.03	$1,315.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $53.00 / $53.00	Facility		$50.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $175.72 / $798.00	Facility		$55.65	$175.72	$798.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $798.00 / $798.00	Professional		$798.00	$798.00	$798.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $104.06 / $128.84	Professional		$55.00	$104.06	$128.84
United Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $53.00 / $58.30	Professional		$48.76	$53.00	$58.30