Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $253.50 / $327.63	Professional		$131.44	$253.50	$327.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $254.20 / $342.75	Professional		$125.10	$254.20	$342.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.49 / $276.33 / $525.25	Professional		$153.49	$276.33	$525.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $234.95 / $306.64	Professional		$87.90	$234.95	$306.64
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $131.85 / $131.85 / $459.98	Professional	50	$131.85	$131.85	$459.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $299.31 / $460.32	Professional		$219.46	$299.31	$460.32
United Facility/Professional Professional Modifier Low / Median / High Price $233.92 / $342.41 / $614.51	Professional		$233.92	$342.41	$614.51