Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.49 / $545.49 / $545.49	Facility		$545.49	$545.49	$545.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $545.49 / $690.72	Professional		$373.75	$545.49	$690.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,290.00 / $1,626.36	Professional		$1,032.00	$1,290.00	$1,626.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.75 / $578.29 / $745.56	Facility		$529.75	$578.29	$745.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $578.29 / $668.41	Professional		$75.12	$578.29	$668.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.80 / $545.49 / $1,057.48	Facility		$457.80	$545.49	$1,057.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $647.92 / $1,100.00 / $1,100.00	Professional		$647.92	$1,100.00	$1,100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $525.53 / $910.01	Professional		$68.25	$525.53	$910.01
United Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $61.44 / $572.00	Professional		$39.24	$61.44	$572.00