Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.82 / $318.45 / $403.06	Professional		$262.82	$318.45	$403.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.00 / $600.00 / $767.61	Professional		$429.00	$600.00	$767.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.14 / $354.55 / $452.30	Facility		$342.14	$354.55	$452.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.37 / $354.55 / $465.35	Professional		$301.37	$354.55	$465.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.35 / $334.37 / $853.46	Facility		$258.35	$334.37	$853.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.09 / $575.09 / $575.09	Professional		$575.09	$575.09	$575.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $268.11 / $357.47	Professional		$35.74	$268.11	$357.47
United Facility/Professional Professional Modifier Low / Median / High Price $226.97 / $317.76 / $452.63	Professional		$226.97	$317.76	$452.63