Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.50 / $458.15 / $812.52	Facility		$416.50	$458.15	$812.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $434.15 / $567.98	Professional		$238.56	$434.15	$567.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $163.68 / $3,426.66	Facility		$53.16	$163.68	$3,426.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $386.68 / $654.66	Professional		$350.00	$386.68	$654.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,011.56 / $1,156.80 / $3,173.62	Facility		$1,011.56	$1,156.80	$3,173.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.77 / $299.00 / $657.21	Professional		$252.77	$299.00	$657.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $434.15 / $556.60 / $834.90	Facility		$434.15	$556.60	$834.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $306.13 / $306.13 / $306.13	Professional		$306.13	$306.13	$306.13
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $278.30 / $556.60	Professional		$233.77	$278.30	$556.60