Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $457.09 / $1,318.26	Facility		$323.59	$457.09	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $549.54	Professional		$309.03	$309.03	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $1,995.26	Facility		$489.78	$1,047.13	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,023.29	Professional		$338.84	$524.81	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $309.03 / $562.34	Facility		$288.40	$309.03	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $331.13	Professional		$309.03	$309.03	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $489.78	Professional		$19.50	$32.36	$489.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $446.68 / $1,348.96	Facility		$309.03	$446.68	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $776.25 / $812.83	Professional		$30.20	$776.25	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $309.03 / $660.69	Facility		$288.40	$309.03	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $346.74	Professional		$263.03	$323.59	$346.74