Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.28 / $604.28 / $2,574.06	Facility		$604.28	$604.28	$2,574.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $581.25 / $725.12	Professional		$575.50	$581.25	$725.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.03 / $712.30 / $1,115.36	Facility		$416.03	$712.30	$1,115.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $719.38 / $925.35	Professional		$575.50	$719.38	$925.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $575.50 / $789.72	Facility		$542.92	$575.50	$789.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $597.22	Professional		$575.50	$575.50	$597.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $529.52 / $575.50 / $976.09	Facility		$529.52	$575.50	$976.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $529.52 / $529.52 / $881.97	Professional		$529.52	$529.52	$881.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $604.27 / $664.52 / $1,515.87	Professional		$604.27	$664.52	$1,515.87
United Facility/Professional Professional Modifier Low / Median / High Price $489.18 / $610.03 / $670.66	Professional		$489.18	$610.03	$670.66