Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.27 / $315.27 / $1,274.64	Facility		$315.27	$315.27	$1,274.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $315.27 / $326.80	Professional		$307.58	$315.27	$326.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.36 / $385.87 / $629.90	Facility		$229.36	$385.87	$629.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.11 / $396.00 / $491.01	Professional		$366.11	$396.00	$491.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Facility		$326.80	$326.80	$326.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $315.27 / $344.28 / $422.92	Facility		$315.27	$344.28	$422.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $344.28 / $344.28 / $560.21	Professional		$344.28	$344.28	$560.21
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 $272.33 / $320.39 / $326.83	Professional		$272.33	$320.39	$326.83