Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $175.36	Professional		$136.94	$136.94	$175.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $160.00 / $201.72	Professional		$128.00	$160.00	$201.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $153.77 / $153.77	Professional		$18.59	$153.77	$153.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $136.94 / $175.36	Facility		$24.80	$136.94	$175.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $77.12 / $133.54	Professional		$10.01	$77.12	$133.54
United Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $92.08 / $134.62	Professional		$63.76	$92.08	$134.62