Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $138.38 / $176.05	Professional		$112.73	$138.38	$176.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $149.58 / $186.39	Professional		$114.43	$149.58	$186.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.86 / $183.22 / $282.31	Professional		$131.86	$183.22	$282.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.80 / $161.13 / $251.39	Facility		$110.80	$161.13	$251.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $116.30 / $116.30	Professional		$116.30	$116.30	$116.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $186.29 / $297.71	Professional		$137.30	$186.29	$297.71
United Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $173.23 / $387.80	Professional		$142.05	$173.23	$387.80