Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $185.59 / $234.90	Professional		$151.58	$185.59	$234.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $360.00 / $453.18	Professional		$260.00	$360.00	$453.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $204.05 / $273.70	Facility		$193.14	$204.05	$273.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $173.44 / $349.88	Professional		$173.44	$173.44	$349.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.66 / $222.71 / $516.88	Facility		$178.66	$222.71	$516.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.70 / $371.70 / $371.70	Professional		$371.70	$371.70	$371.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $162.36 / $216.48	Professional		$21.64	$162.36	$216.48
United Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $138.38 / $202.27	Facility		$18.45	$138.38	$202.27
United Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $166.51 / $274.12	Professional		$112.12	$166.51	$274.12