Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.61 / $354.61 / $510.49	Professional		$354.61	$354.61	$510.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $700.00 / $882.51	Professional		$560.00	$700.00	$882.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $286.95	Facility		$200.00	$200.00	$286.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $200.00	Professional		$170.00	$200.00	$200.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $328.72 / $354.61 / $667.80	Facility		$328.72	$354.61	$667.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.83 / $391.85 / $558.29	Professional		$286.83	$391.85	$558.29