Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $128.82	Professional		$79.43	$102.33	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $190.55	Professional		$151.36	$158.49	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $154.88	Facility		$109.65	$109.65	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $186.21	Professional		$93.33	$109.65	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $204.17	Facility		$79.43	$107.15	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $79.43	Professional		$67.61	$67.61	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $77.62 / $128.82	Professional		$8.32	$77.62	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $74.13 / $117.49	Facility		$10.23	$74.13	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $162.18	Professional		$56.23	$85.11	$162.18