Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.17 / $518.17 / $518.17	Facility		$518.17	$518.17	$518.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $594.61 / $594.61	Professional		$518.17	$594.61	$594.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.30 / $780.75 / $1,365.85	Facility		$412.30	$780.75	$1,365.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $518.17 / $621.82	Professional		$456.00	$518.17	$621.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Facility		$457.73	$457.73	$457.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Professional		$457.73	$457.73	$457.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $492.27 / $549.28 / $685.54	Facility		$492.27	$549.28	$685.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $424.91 / $424.91 / $531.13	Professional		$424.91	$424.91	$531.13
United Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $518.17 / $518.17	Professional		$518.17	$518.17	$518.17