Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $107.84 / $154.16	Professional		$77.33	$107.84	$154.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $125.00 / $221.43	Professional		$84.57	$125.00	$221.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $135.78 / $227.11	Professional		$98.68	$135.78	$227.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Professional		$104.21	$104.21	$104.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$172.70
United Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $127.80 / $267.97	Professional		$93.83	$127.80	$267.97