Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $295.12	Professional		$190.55	$234.42	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $512.86	Professional		$316.23	$398.11	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $263.03 / $331.13	Facility		$251.19	$263.03	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $457.09	Professional		$223.87	$263.03	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $295.12 / $616.60	Facility		$190.55	$295.12	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $162.18	Professional		$138.04	$138.04	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $194.98 / $263.03	Professional		$26.30	$194.98	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $181.97 / $288.40	Facility		$23.44	$181.97	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $354.81	Professional		$162.18	$218.78	$354.81