Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.89 / $230.36 / $305.42	Professional		$190.89	$230.36	$305.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $170.57 / $247.93	Professional		$124.00	$170.57	$247.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $262.23 / $490.52	Professional		$187.63	$262.23	$490.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $740.04 / $1,168.33	Professional		$306.68	$740.04	$1,168.33
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $460.02 / $460.02 / $1,752.50	Professional	50	$460.02	$460.02	$1,752.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.73 / $293.23	Professional		$137.22	$187.73	$293.23
United Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $259.52 / $448.45	Professional		$178.96	$259.52	$448.45