Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $187.72 / $211.17	Professional		$145.35	$187.72	$211.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.59 / $220.04 / $235.45	Professional		$213.59	$220.04	$235.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.76 / $188.46 / $328.85	Facility		$183.76	$188.46	$328.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.90 / $186.67 / $460.57	Professional		$161.90	$186.67	$460.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $190.70 / $292.73	Professional		$137.41	$190.70	$292.73
United Facility/Professional Professional Modifier Low / Median / High Price $159.51 / $191.84 / $333.99	Professional		$159.51	$191.84	$333.99