Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $74.25 / $99.83	Professional		$74.25	$74.25	$99.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $103.20 / $151.21	Professional		$83.00	$103.20	$151.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $102.21	Facility		$57.76	$57.76	$102.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $119.96	Professional		$49.10	$57.76	$119.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.25 / $89.10 / $165.02	Facility		$74.25	$89.10	$165.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $86.25	Professional		$48.45	$48.45	$86.25
United Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $63.28 / $83.40	Professional		$45.07	$63.28	$83.40