Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.78 / $526.80 / $3,203.00	Facility		$472.78	$526.80	$3,203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.80 / $574.09 / $650.00	Professional		$526.80	$574.09	$650.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,158.05 / $4,158.05 / $4,443.60	Facility		$4,158.05	$4,158.05	$4,443.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $497.16 / $807.56	Professional		$450.00	$497.16	$807.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,227.47 / $1,663.85 / $3,851.00	Facility		$1,227.47	$1,663.85	$3,851.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $313.98 / $2,009.36	Professional		$300.18	$313.98	$2,009.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $526.80 / $646.24 / $1,160.32	Facility		$526.80	$646.24	$1,160.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.47 / $371.47 / $371.47	Professional		$371.47	$371.47	$371.47
United Facility/Professional Professional Modifier Low / Median / High Price $283.67 / $387.74 / $615.03	Professional		$283.67	$387.74	$615.03