Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.10 / $310.10 / $392.46	Professional		$310.10	$310.10	$392.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $624.79 / $751.88	Professional		$406.00	$624.79	$751.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.69 / $358.71 / $432.14	Facility		$358.69	$358.71	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $358.71 / $470.81	Professional		$304.89	$358.71	$470.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $279.18 / $372.12 / $807.71	Facility		$279.18	$372.12	$807.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $571.13 / $571.13 / $571.13	Professional		$571.13	$571.13	$571.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $253.73 / $338.29	Professional		$33.82	$253.73	$338.29
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $236.26 / $391.30	Facility		$26.92	$236.26	$391.30
United Facility/Professional Professional Modifier Low / Median / High Price $208.08 / $278.16 / $430.70	Professional		$208.08	$278.16	$430.70