Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.01 / $373.93 / $451.76	Professional		$313.01	$373.93	$451.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $900.00 / $1,134.66	Professional		$720.00	$900.00	$1,134.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $449.38	Facility		$329.00	$329.00	$449.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $279.64 / $528.75	Professional		$279.64	$279.64	$528.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.83 / $373.93 / $487.25	Facility		$72.83	$373.93	$487.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $497.94 / $497.94	Professional		$77.00	$497.94	$497.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $44.28 / $59.04	Professional		$44.28	$44.28	$59.04
United Facility/Professional Professional Modifier Low / Median / High Price $174.13 / $212.11 / $409.03	Professional		$174.13	$212.11	$409.03