Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.72 / $343.72 / $343.72	Facility		$343.72	$343.72	$343.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $343.72 / $397.99	Professional		$305.64	$343.72	$397.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.85 / $1,618.16 / $2,798.59	Facility		$707.85	$1,618.16	$2,798.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $403.97 / $576.30	Professional		$324.00	$403.97	$576.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $1,802.02 / $2,908.75	Facility		$662.58	$1,802.02	$2,908.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.56 / $447.69 / $704.22	Professional		$318.56	$447.69	$704.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $357.86 / $456.00 / $1,002.97	Facility		$357.86	$456.00	$1,002.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $335.56 / $335.56 / $335.56	Professional		$335.56	$335.56	$335.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.50 / $280.51 / $524.53	Professional		$186.50	$280.51	$524.53
United Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $454.16 / $789.74	Professional		$312.70	$454.16	$789.74