Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $2,454.71	Facility		$602.56	$812.83	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $691.83	Professional		$524.81	$575.44	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $602.56 / $1,071.52	Facility		$251.19	$602.56	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $758.58	Professional		$575.44	$707.95	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $575.44 / $575.44	Facility		$549.54	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $676.08 / $1,621.81	Facility		$426.58	$676.08	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $1,258.93	Facility		$562.34	$575.44	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $630.96	Professional		$562.34	$575.44	$630.96