Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $363.08	Professional		$213.80	$281.84	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $489.78	Professional		$323.59	$398.11	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $354.81	Facility		$239.88	$239.88	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $645.65	Professional		$204.17	$239.88	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $288.40 / $407.38	Facility		$61.66	$288.40	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $181.97 / $309.03	Professional		$23.44	$181.97	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $169.82 / $269.15	Facility		$28.18	$169.82	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $288.40	Professional		$114.82	$186.21	$288.40