Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.31 / $504.31 / $504.31	Facility		$504.31	$504.31	$504.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.31 / $504.31 / $638.48	Professional		$504.31	$504.31	$638.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,050.00 / $1,323.77	Professional		$840.00	$1,050.00	$1,323.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.72 / $568.02 / $671.30	Facility		$518.72	$568.02	$671.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $568.02 / $695.55	Professional		$482.82	$568.02	$695.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $523.79 / $976.14	Facility		$456.00	$523.79	$976.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $56.56 / $75.41	Professional		$56.56	$56.56	$75.41
United Facility/Professional Professional Modifier Low / Median / High Price $341.12 / $508.83 / $729.87	Professional		$341.12	$508.83	$729.87