Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $91.20 / $100.00	Professional		$43.65	$91.20	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $144.54	Professional		$87.10	$117.49	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $95.50 / $120.23	Facility		$63.10	$95.50	$120.23
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 $43.65 / $53.70 / $67.61	Professional		$43.65	$53.70	$67.61