Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $210.30 / $275.62	Professional		$210.30	$210.30	$275.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $378.00 / $467.93	Professional		$247.00	$378.00	$467.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.28 / $263.45 / $265.52	Facility		$237.28	$263.45	$265.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $223.93 / $438.75	Professional		$223.93	$223.93	$438.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.30 / $275.63 / $626.88	Facility		$210.30	$275.63	$626.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $299.68 / $299.68 / $299.68	Professional		$299.68	$299.68	$299.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $160.89 / $214.52	Professional		$21.45	$160.89	$214.52
United Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $188.58 / $278.14	Professional		$126.98	$188.58	$278.14