Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,659.59 / $1,862.09	Facility		$457.09	$1,659.59	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $562.34	Professional		$446.68	$467.74	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $363.08 / $660.69	Facility		$158.49	$363.08	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $676.08	Professional		$489.78	$575.44	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $501.19 / $616.60	Facility		$154.88	$501.19	$616.60
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 $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $512.86	Professional		$467.74	$467.74	$512.86