Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $99.26 / $125.62	Professional		$80.52	$99.26	$125.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $144.99 / $209.55	Professional		$115.00	$144.99	$209.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.16 / $115.90 / $144.38	Facility		$108.16	$115.90	$144.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $144.38	Professional		$98.52	$115.90	$144.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.52 / $104.22 / $264.76	Facility		$80.52	$104.22	$264.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $161.36 / $161.36	Professional		$161.36	$161.36	$161.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $111.66 / $111.66	Professional		$111.66	$111.66	$111.66
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.34 / $129.09	Professional		$63.14	$90.34	$129.09