Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $234.60 / $296.93	Professional		$234.60	$234.60	$296.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $420.00 / $568.45	Professional		$314.00	$420.00	$568.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.84 / $265.97 / $332.38	Facility		$253.84	$265.97	$332.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $226.07 / $452.63	Professional		$226.07	$226.07	$452.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.53 / $281.52 / $623.54	Facility		$215.53	$281.52	$623.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.87 / $457.87 / $457.87	Professional		$457.87	$457.87	$457.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $195.87 / $261.17	Professional		$26.11	$195.87	$261.17
United Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $210.46 / $330.70	Professional		$156.10	$210.46	$330.70