Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $67.52 / $85.46	Professional		$67.52	$67.52	$85.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $108.00 / $158.25	Professional		$86.50	$108.00	$158.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.04 / $78.15 / $78.15	Facility		$75.04	$78.15	$78.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $102.57	Professional		$66.43	$78.15	$102.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $83.23 / $171.30	Facility		$59.21	$83.23	$171.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $91.00	Professional		$89.00	$89.00	$91.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $77.54	Professional		$77.54	$77.54	$77.54
United Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $60.56 / $89.49	Professional		$40.38	$60.56	$89.49