Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $316.23	Professional		$208.93	$245.47	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $549.54	Professional		$346.74	$467.74	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $371.54	Facility		$275.42	$275.42	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $489.78	Professional		$234.42	$275.42	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $316.23 / $676.08	Facility		$204.17	$316.23	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $173.78	Professional		$147.91	$147.91	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $208.93 / $281.84	Professional		$28.18	$208.93	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $194.98 / $309.03	Facility		$25.12	$194.98	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $380.19	Professional		$169.82	$234.42	$380.19