Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $114.82	Professional		$44.67	$87.10	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $173.78	Professional		$102.33	$141.25	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $109.65 / $141.25	Facility		$61.66	$109.65	$141.25
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 $42.66 / $61.66 / $77.62	Professional		$42.66	$61.66	$77.62