Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $175.16 / $317.23	Professional		$134.77	$175.16	$317.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $179.89 / $256.88	Professional		$135.88	$179.89	$256.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $197.87 / $383.85	Professional		$147.34	$197.87	$383.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $133.28 / $206.80	Professional		$72.94	$133.28	$206.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $205.33 / $319.00	Professional		$153.29	$205.33	$319.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.65 / $206.92 / $413.73	Professional		$146.65	$206.92	$413.73