Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.75 / $416.78 / $2,534.02	Facility		$291.75	$416.78	$2,534.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $490.19	Professional		$416.78	$416.78	$490.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.60 / $372.00 / $532.16	Facility		$298.60	$372.00	$532.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $318.87 / $527.49	Professional		$300.00	$318.87	$527.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.78 / $845.24 / $2,376.42	Facility		$351.78	$845.24	$2,376.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $386.63 / $386.63 / $525.14	Facility		$386.63	$386.63	$525.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.23 / $229.23 / $229.23	Professional		$229.23	$229.23	$229.23
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $226.45 / $416.78	Professional		$175.05	$226.45	$416.78