Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.48 / $216.00 / $263.52	Professional		$189.48	$216.00	$263.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.78 / $215.78 / $259.67	Professional		$215.78	$215.78	$259.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $172.39	Professional		$172.39	$172.39	$172.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $189.48 / $216.00 / $259.20	Facility		$189.48	$216.00	$259.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.51 / $193.51 / $193.51	Professional		$193.51	$193.51	$193.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $206.74 / $302.92	Professional		$163.22	$206.74	$302.92