Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $194.98	Professional		$93.33	$123.03	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $162.18	Professional		$87.10	$107.15	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $323.59	Professional		$102.33	$141.25	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $169.82	Professional		$141.25	$141.25	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $190.55	Professional		$87.10	$117.49	$190.55