Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $276.39 / $350.74	Professional		$276.39	$276.39	$350.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $347.06 / $530.72	Professional		$282.00	$347.06	$530.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.87 / $307.55 / $307.55	Facility		$264.87	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $261.42 / $580.50	Professional		$261.42	$261.42	$580.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $276.39 / $317.32 / $617.38	Facility		$276.39	$317.32	$617.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $283.00 / $371.60	Professional		$283.00	$283.00	$371.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $181.83 / $242.42	Professional		$24.24	$181.83	$242.42
United Facility/Professional Professional Modifier Low / Median / High Price $159.76 / $212.32 / $282.20	Professional		$159.76	$212.32	$282.20