Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.33 / $378.33 / $478.72	Professional		$378.33	$378.33	$478.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $577.25 / $967.07	Professional		$550.00	$577.25	$967.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $493.02	Facility		$450.88	$450.88	$493.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $450.88 / $450.88	Professional		$58.34	$450.88	$450.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.51 / $378.33 / $478.72	Facility		$71.51	$378.33	$478.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $553.99 / $553.99 / $553.99	Professional		$553.99	$553.99	$553.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $230.74 / $469.44	Facility		$28.17	$230.74	$469.44
United Facility/Professional Professional Modifier Low / Median / High Price $218.44 / $332.39 / $450.72	Professional		$218.44	$332.39	$450.72