Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $103.32 / $130.77	Professional		$74.23	$103.32	$130.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $235.75 / $307.68	Professional		$141.00	$235.75	$307.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $151.03	Facility		$115.51	$115.51	$151.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $151.61	Professional		$98.18	$115.51	$151.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $123.98 / $315.76	Facility		$96.71	$123.98	$315.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.55 / $331.55 / $331.55	Professional		$331.55	$331.55	$331.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $87.89 / $117.18	Professional		$11.71	$87.89	$117.18
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $93.96 / $153.44	Professional		$68.20	$93.96	$153.44