Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $667.75 / $932.88	Professional		$631.00	$667.75	$932.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $950.00 / $1,197.70	Professional		$760.00	$950.00	$1,197.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.18 / $450.00 / $450.00	Facility		$353.18	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $450.00 / $450.00	Professional		$105.60	$450.00	$450.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.52 / $667.75 / $932.88	Facility		$389.52	$667.75	$932.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,050.00	Professional		$1,050.00	$1,050.00	$1,050.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $360.70 / $624.61	Professional		$61.29	$360.70	$624.61
United Facility/Professional Professional Modifier Low / Median / High Price $362.16 / $499.12 / $717.79	Professional		$362.16	$499.12	$717.79