Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.08 / $203.94 / $314.70	Professional		$164.08	$203.94	$314.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.11 / $238.10 / $244.14	Professional		$231.11	$238.10	$244.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.56 / $203.94 / $356.98	Facility		$193.56	$203.94	$356.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $193.56 / $500.37	Professional		$167.89	$193.56	$500.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $227.15 / $357.07	Professional		$164.85	$227.15	$357.07
United Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $204.59 / $350.08	Professional		$171.50	$204.59	$350.08