Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.20 / $483.20 / $3,273.65	Facility		$483.20	$483.20	$3,273.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.20 / $483.20 / $483.20	Professional		$483.20	$483.20	$483.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.29 / $724.80 / $952.60	Professional		$690.29	$724.80	$952.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.54 / $1,700.54 / $3,935.91	Facility		$1,254.54	$1,700.54	$3,935.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $538.42 / $690.29 / $828.35	Facility		$538.42	$690.29	$828.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.92 / $379.66 / $628.58	Professional		$289.92	$379.66	$628.58