Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.85 / $731.85 / $731.85	Facility		$731.85	$731.85	$731.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.13 / $798.15 / $1,295.02	Facility		$397.13	$798.15	$1,295.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.59 / $1,360.76 / $2,020.54	Facility		$758.59	$1,360.76	$2,020.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
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 Facility Modifier Low / Median / High Price $377.12 / $377.12 / $450.87	Facility		$377.12	$377.12	$450.87
United Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $47.92	Professional		$47.92	$47.92	$47.92