Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.55 / $595.55 / $595.55	Facility		$595.55	$595.55	$595.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.55 / $595.55 / $641.60	Professional		$595.55	$595.55	$641.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.89 / $1,159.51 / $1,949.63	Facility		$540.89	$1,159.51	$1,949.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,757.73 / $2,161.32 / $3,488.72	Facility		$1,757.73	$2,161.32	$3,488.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $592.27 / $595.55 / $1,012.45	Facility		$592.27	$595.55	$1,012.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $578.78 / $578.78 / $578.78	Professional		$578.78	$578.78	$578.78
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 $541.65 / $726.10 / $1,199.54	Professional		$541.65	$726.10	$1,199.54