Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $295.12 / $354.81	Professional		$112.20	$295.12	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $676.08 / $1,174.90	Facility		$389.05	$676.08	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $407.38	Professional		$223.87	$251.19	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $724.44	Professional		$288.40	$398.11	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $316.23 / $562.34	Facility		$147.91	$316.23	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $199.53 / $251.19	Professional		$54.95	$199.53	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,398.83	Facility		$1,584.89	$1,819.70	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $501.19	Professional		$234.42	$302.00	$501.19