Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $281.84	Professional		$169.82	$223.87	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $489.78	Professional		$316.23	$389.05	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $331.13	Facility		$245.47	$245.47	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $426.58	Professional		$208.93	$245.47	$426.58
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 $186.21 / $288.40 / $630.96	Facility		$186.21	$288.40	$630.96
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 $21.88 / $162.18 / $257.04	Facility		$21.88	$162.18	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $346.74	Professional		$154.88	$213.80	$346.74