Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $175.00 / $202.46	Professional		$75.05	$175.00	$202.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $110.56 / $388.90	Professional		$107.32	$110.56	$388.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $95.95 / $247.00	Facility		$82.17	$95.95	$247.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $82.17 / $83.88	Professional		$82.17	$82.17	$83.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $94.00 / $166.50	Professional		$77.08	$94.00	$166.50