Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $269.15	Professional		$104.71	$123.03	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $186.21	Professional		$109.65	$147.91	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $208.93	Professional		$58.88	$89.13	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $138.04 / $251.19	Facility		$100.00	$138.04	$251.19
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 $75.86 / $131.83 / $331.13	Professional		$75.86	$131.83	$331.13