Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $630.96	Professional		$512.86	$512.86	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $251.19 / $426.58	Facility		$134.90	$251.19	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $588.84 / $1,096.48	Facility		$512.86	$588.84	$1,096.48
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 $147.91 / $707.95 / $1,096.48	Facility		$147.91	$707.95	$1,096.48