Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.14 / $263.89 / $330.32	Professional		$215.14	$263.89	$330.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $360.00 / $453.86	Professional		$288.00	$360.00	$453.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $369.00	Facility		$256.50	$256.50	$369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.03 / $256.50 / $386.04	Professional		$218.03	$256.50	$386.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.89 / $263.89 / $330.32	Facility		$172.89	$263.89	$330.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $321.88 / $321.88	Professional		$41.00	$321.88	$321.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $166.42 / $288.18	Professional		$22.48	$166.42	$288.18
United Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $183.19 / $278.39	Professional		$152.66	$183.19	$278.39