Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $78.84 / $99.78	Professional		$65.88	$78.84	$99.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $151.19 / $191.36	Professional		$104.00	$151.19	$191.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $90.31 / $118.54	Facility		$90.31	$90.31	$118.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $90.31 / $118.54	Professional		$76.76	$90.31	$118.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.58 / $99.78 / $207.10	Facility		$71.58	$99.78	$207.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $50.22 / $89.28	Professional		$6.10	$50.22	$89.28
United Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $70.73 / $109.83	Professional		$55.96	$70.73	$109.83