Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $512.86	Professional		$338.84	$407.38	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $870.96	Professional		$562.34	$707.95	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $288.40	Facility		$199.53	$199.53	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $691.83	Professional		$169.82	$199.53	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $371.54 / $660.69	Facility		$309.03	$371.54	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $398.11 / $676.08	Facility		$45.71	$398.11	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $575.44	Professional		$288.40	$389.05	$575.44