Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $120.23	Professional		$79.43	$89.13	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $251.19	Professional		$77.62	$128.82	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $239.88	Professional		$87.10	$125.89	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $186.21	Professional		$141.25	$141.25	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $204.17	Facility		$87.10	$125.89	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
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 / $93.33 / $147.91	Professional		$75.86	$93.33	$147.91