Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $676.08	Professional		$389.05	$524.81	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,096.48	Professional		$602.56	$891.25	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $676.08	Facility		$457.09	$457.09	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $1,122.02	Professional		$389.05	$457.09	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $1,258.93	Facility		$436.52	$575.44	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $269.15	Professional		$263.03	$263.03	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $269.15 / $478.63	Professional		$35.48	$269.15	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $467.74 / $812.83	Facility		$57.54	$467.74	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $977.24	Professional		$371.54	$512.86	$977.24