Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $446.68	Professional		$257.04	$371.54	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,096.48	Professional		$724.44	$891.25	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $446.68	Facility		$331.13	$331.13	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $524.81	Professional		$281.84	$331.13	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $371.54 / $660.69	Facility		$72.44	$371.54	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $316.23	Professional		$309.03	$309.03	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $58.88	Professional		$44.67	$44.67	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $208.93 / $346.74	Facility		$30.20	$208.93	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $407.38	Professional		$138.04	$223.87	$407.38