Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $199.53	Professional		$70.79	$112.20	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $407.38	Professional		$109.65	$114.82	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $91.20	Professional		$69.18	$69.18	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $165.96 / $263.03	Facility		$77.62	$165.96	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $162.18	Professional		$75.86	$95.50	$162.18