Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $144.54	Professional		$89.13	$114.82	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $245.47	Professional		$154.88	$190.55	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $144.54	Facility		$131.83	$131.83	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $239.88	Professional		$112.20	$131.83	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $302.00	Facility		$114.82	$134.90	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $134.90	Professional		$66.07	$66.07	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $74.13 / $131.83	Professional		$9.77	$74.13	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $89.13 / $141.25	Facility		$11.22	$89.13	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $151.36	Professional		$70.79	$104.71	$151.36