Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $128.82	Professional		$48.98	$104.71	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $199.53	Professional		$117.49	$158.49	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $125.89 / $158.49	Facility		$70.79	$125.89	$158.49
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 $50.12 / $67.61 / $89.13	Professional		$50.12	$67.61	$89.13