Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $102.95 / $130.32	Professional		$81.37	$102.95	$130.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $157.50 / $189.11	Professional		$150.00	$157.50	$189.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $153.76	Facility		$110.00	$110.00	$153.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $187.50	Professional		$93.50	$93.50	$187.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $102.95 / $198.28	Facility		$79.00	$102.95	$198.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $186.00 / $186.00	Professional		$186.00	$186.00	$186.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $77.17 / $128.45	Professional		$8.25	$77.17	$128.45
United Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $82.87 / $185.89	Professional		$55.85	$82.87	$185.89