Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $128.82	Professional		$87.10	$114.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $234.42	Professional		$144.54	$154.88	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $120.23 / $169.82	Facility		$93.33	$120.23	$169.82
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