Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $101.13 / $118.77	Professional		$92.80	$101.13	$118.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $117.10 / $153.72	Professional		$111.52	$117.10	$153.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $138.66 / $138.66	Facility		$138.66	$138.66	$138.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $104.45 / $104.45	Professional		$104.45	$104.45	$104.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.37 / $120.92 / $196.11	Facility		$100.37	$120.92	$196.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $120.92 / $286.33	Professional		$102.95	$120.92	$286.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $121.29 / $189.22	Professional		$97.03	$121.29	$189.22
United Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $124.51 / $187.78	Professional		$102.10	$124.51	$187.78