Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $316.23	Professional		$112.20	$204.17	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $251.19	Professional		$97.72	$144.54	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $512.86	Professional		$128.82	$229.09	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $275.42	Professional		$223.87	$223.87	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
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 $107.15 / $194.98 / $338.84	Professional		$107.15	$194.98	$338.84