Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $129.81 / $197.41	Professional		$100.63	$129.81	$197.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $244.30 / $366.45	Professional		$143.75	$244.30	$366.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $88.68 / $480.10	Professional		$66.70	$88.68	$480.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.13 / $230.00 / $274.00	Facility		$112.13	$230.00	$274.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $79.06 / $79.06	Professional		$79.06	$79.06	$79.06
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $110.65 / $344.12	Professional		$86.25	$110.65	$344.12