Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $321.93 / $398.93	Professional		$253.85	$321.93	$398.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.56 / $456.00 / $647.82	Professional		$303.56	$456.00	$647.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.09 / $370.09 / $370.09	Facility		$370.09	$370.09	$370.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $373.20 / $683.84	Professional		$284.08	$373.20	$683.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $294.77 / $326.77 / $535.70	Facility		$294.77	$326.77	$535.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $323.66 / $704.81	Professional		$220.89	$323.66	$704.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $338.97 / $535.60	Professional		$247.20	$338.97	$535.60
United Facility/Professional Professional Modifier Low / Median / High Price $242.75 / $290.27 / $479.54	Professional		$242.75	$290.27	$479.54