Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $123.03	Professional		$52.48	$112.20	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $177.83	Professional		$107.15	$144.54	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $147.91	Facility		$75.86	$117.49	$147.91
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 $53.70 / $64.57 / $85.11	Professional		$53.70	$64.57	$85.11