Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $217.67 / $298.07	Professional		$128.53	$217.67	$298.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $181.20 / $268.58	Professional		$123.59	$181.20	$268.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $244.77 / $464.37	Professional		$135.94	$244.77	$464.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.70 / $199.55 / $303.92	Professional		$194.70	$199.55	$303.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $180.50 / $320.49	Professional		$31.92	$180.50	$320.49
United Facility/Professional Professional Modifier Low / Median / High Price $219.11 / $304.93 / $560.79	Professional		$219.11	$304.93	$560.79