Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.92 / $252.92 / $320.08	Professional		$252.92	$252.92	$320.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $363.06 / $527.59	Professional		$295.00	$363.06	$527.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.22 / $229.50 / $330.36	Facility		$215.22	$229.50	$330.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $229.50 / $393.05	Professional		$195.08	$229.50	$393.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $315.02 / $622.28	Facility		$252.68	$315.02	$622.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $377.00 / $377.00	Professional		$377.00	$377.00	$377.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $146.81 / $244.35	Professional		$18.32	$146.81	$244.35
United Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $226.84 / $330.02	Professional		$168.14	$226.84	$330.02