Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $588.84	Professional		$467.74	$524.81	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $331.13	Facility		$107.15	$186.21	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $776.25	Professional		$501.19	$630.96	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $549.54 / $794.33	Facility		$398.11	$549.54	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,388.44 / $5,128.61	Facility		$660.69	$3,388.44	$5,128.61