Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.23 / $94.23 / $94.23	Facility		$94.23	$94.23	$94.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $89.75 / $94.23	Professional		$66.23	$89.75	$94.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $579.66 / $1,924.78	Professional		$89.75	$579.66	$1,924.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $89.75 / $89.75	Facility		$84.67	$89.75	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $114.02 / $490.00	Facility		$89.75	$114.02	$490.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $490.00 / $490.00	Professional		$490.00	$490.00	$490.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $93.37 / $94.23	Professional		$75.41	$93.37	$94.23
United Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $89.75 / $98.73	Professional		$80.78	$89.75	$98.73