Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.11 / $147.28 / $186.41	Professional		$127.11	$147.28	$186.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $289.70 / $359.79	Professional		$201.00	$289.70	$359.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.99 / $166.31 / $214.71	Facility		$148.99	$166.31	$214.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $218.29	Professional		$141.36	$166.31	$218.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.15 / $176.74 / $399.70	Facility		$138.15	$176.74	$399.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $337.77 / $337.77 / $337.77	Professional		$337.77	$337.77	$337.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $125.58 / $167.40	Professional		$16.73	$125.58	$167.40
United Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $138.30 / $226.10	Professional		$106.39	$138.30	$226.10