Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $269.15	Professional		$162.18	$213.80	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $426.58	Professional		$257.04	$346.74	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $269.15 / $269.15	Facility		$251.19	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $446.68	Professional		$229.09	$269.15	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $501.19	Facility		$213.80	$269.15	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $281.84	Professional		$109.65	$109.65	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $162.18 / $251.19	Professional		$21.88	$162.18	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $165.96 / $275.42	Facility		$22.39	$165.96	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $281.84	Professional		$134.90	$190.55	$281.84