Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $111.22 / $164.54	Professional		$89.92	$111.22	$164.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $117.59 / $199.31	Professional		$103.64	$117.59	$199.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.61 / $149.90 / $256.45	Professional		$113.61	$149.90	$256.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $117.30 / $117.30	Professional		$117.30	$117.30	$117.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $76.04 / $152.90	Professional		$29.95	$76.04	$152.90
United Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $120.23 / $246.75	Professional		$94.03	$120.23	$246.75