Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $650.99 / $3,041.82	Facility		$5.66	$650.99	$3,041.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.20 / $650.99 / $658.93	Professional		$479.20	$650.99	$658.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.52 / $380.83 / $729.70	Facility		$173.52	$380.83	$729.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.11 / $563.76 / $676.51	Professional		$496.11	$563.76	$676.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.12 / $650.99 / $873.28	Facility		$258.12	$650.99	$873.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $661.57	Professional		$661.57	$661.57	$661.57