Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $88.00 / $102.25	Professional		$71.25	$88.00	$102.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $107.53 / $121.19	Professional		$96.95	$107.53	$121.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $107.55 / $171.54	Professional		$77.25	$107.55	$171.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.08 / $95.92 / $152.97	Facility		$74.08	$95.92	$152.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $74.09 / $86.02	Professional		$37.04	$74.09	$86.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $112.42 / $178.53	Professional		$82.40	$112.42	$178.53
United Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $100.27 / $166.20	Professional		$77.25	$100.27	$166.20