Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $239.88	Professional		$141.25	$169.82	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $128.82 / $181.97	Professional		$53.70	$128.82	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $398.11	Professional		$144.54	$213.80	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $245.47 / $302.00	Professional		$61.66	$245.47	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
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 $134.90 / $173.78 / $257.04	Professional		$134.90	$173.78	$257.04