Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $118.59 / $150.11	Professional		$100.84	$118.59	$150.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $236.96 / $285.16	Professional		$167.00	$236.96	$285.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.16 / $123.59 / $170.42	Facility		$108.16	$123.59	$170.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $162.21	Professional		$105.05	$123.59	$162.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $150.11 / $332.73	Facility		$115.01	$150.11	$332.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $202.00	Professional		$202.00	$202.00	$202.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.79 / $78.49 / $130.65	Professional		$9.79	$78.49	$130.65
United Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $106.40 / $176.46	Professional		$71.65	$106.40	$176.46