Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.37 / $266.37 / $337.09	Professional		$266.37	$266.37	$337.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $397.14 / $553.86	Professional		$315.00	$397.14	$553.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.99 / $333.25 / $335.76	Facility		$297.99	$333.25	$335.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $411.66	Professional		$283.26	$333.25	$411.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $266.37 / $348.56 / $797.68	Facility		$266.37	$348.56	$797.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $381.33 / $381.33 / $381.33	Professional		$381.33	$381.33	$381.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $204.72 / $272.97	Professional		$27.30	$204.72	$272.97
United Facility/Professional Professional Modifier Low / Median / High Price $169.23 / $238.87 / $331.94	Professional		$169.23	$238.87	$331.94