Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $104.34 / $132.08	Professional		$86.70	$104.34	$132.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $164.80 / $201.72	Professional		$151.00	$164.80	$201.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.57 / $129.12 / $153.94	Facility		$112.57	$129.12	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $131.69	Professional		$109.75	$129.12	$131.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $104.34 / $194.09	Facility		$77.33	$104.34	$194.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $182.00 / $182.00	Professional		$182.00	$182.00	$182.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $81.20 / $144.36	Professional		$8.50	$81.20	$144.36
United Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $81.55 / $169.83	Professional		$59.92	$81.55	$169.83