Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $302.00	Professional		$181.97	$208.93	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $426.58	Professional		$275.42	$302.00	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $512.86	Professional		$223.87	$281.84	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $346.74	Professional		$309.03	$346.74	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $501.19	Facility		$194.98	$288.40	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $380.19	Professional		$199.53	$245.47	$380.19