Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.08 / $625.26 / $3,801.58	Facility		$222.08	$625.26	$3,801.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.26 / $625.26 / $697.41	Professional		$625.26	$625.26	$697.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.61 / $1,253.33 / $2,111.42	Facility		$550.61	$1,253.33	$2,111.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $801.62 / $1,082.24	Professional		$366.00	$801.62	$1,082.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,456.86 / $1,974.78 / $4,570.64	Facility		$1,456.86	$1,974.78	$4,570.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $361.87 / $1,151.24	Professional		$169.82	$361.87	$1,151.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $353.35 / $598.58 / $841.70	Facility		$353.35	$598.58	$841.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $438.30 / $453.06 / $556.00	Professional		$438.30	$453.06	$556.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $440.89 / $440.89 / $634.88	Professional		$440.89	$440.89	$634.88
United Facility/Professional Professional Modifier Low / Median / High Price $210.33 / $440.89 / $801.62	Professional		$210.33	$440.89	$801.62