Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $501.19	Professional		$87.10	$117.49	$501.19
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 $95.50 / $120.23 / $398.11	Facility		$95.50	$120.23	$398.11
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