Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $575.44	Professional		$389.05	$478.63	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,000.00	Professional		$645.65	$794.33	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $489.78	Facility		$354.81	$354.81	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $870.96	Professional		$302.00	$354.81	$870.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $467.74 / $758.58	Facility		$371.54	$467.74	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $371.54	Professional		$316.23	$316.23	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $54.95	Professional		$30.20	$41.69	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $346.74 / $575.44	Facility		$44.67	$346.74	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $588.84	Professional		$245.47	$371.54	$588.84