Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.88 / $490.88 / $1,984.63	Facility		$490.88	$490.88	$1,984.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.91 / $490.88 / $508.84	Professional		$478.91	$490.88	$508.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.12 / $629.34 / $974.33	Facility		$389.12	$629.34	$974.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.34 / $616.60 / $748.30	Professional		$537.34	$616.60	$748.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Facility		$508.84	$508.84	$508.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $419.05 / $508.84 / $834.50	Facility		$419.05	$508.84	$834.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $419.05 / $419.05 / $419.05	Professional		$419.05	$419.05	$419.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $490.88 / $515.42	Professional		$30.00	$490.88	$515.42
United Facility/Professional Professional Modifier Low / Median / High Price $458.96 / $498.87 / $548.76	Professional		$458.96	$498.87	$548.76