Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $776.25 / $2,511.89	Facility		$616.60	$776.25	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $707.95	Professional		$549.54	$588.84	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $588.84 / $1,096.48	Facility		$199.53	$588.84	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $831.76	Professional		$562.34	$691.83	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $588.84 / $588.84	Facility		$549.54	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $676.08 / $1,659.59	Facility		$158.49	$676.08	$1,659.59
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 $575.44 / $588.84 / $1,258.93	Facility		$575.44	$588.84	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $645.65	Professional		$575.44	$588.84	$645.65