Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $151.38 / $191.62	Professional		$125.30	$151.38	$191.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $297.72 / $369.53	Professional		$216.00	$297.72	$369.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.04 / $160.96 / $226.01	Facility		$160.04	$160.96	$226.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $215.49	Professional		$136.82	$160.96	$215.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.77 / $181.67 / $430.40	Facility		$148.77	$181.67	$430.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $310.38 / $310.38 / $310.38	Professional		$310.38	$310.38	$310.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $135.20 / $180.26	Professional		$18.02	$135.20	$180.26
United Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $136.44 / $228.26	Professional		$97.76	$136.44	$228.26