Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.09 / $404.09 / $1,620.11	Facility		$404.09	$404.09	$1,620.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.12 / $404.09 / $618.26	Professional		$378.12	$404.09	$618.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.12 / $925.51 / $1,624.30	Facility		$490.12	$925.51	$1,624.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $414.00 / $502.88	Professional		$384.85	$414.00	$502.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $384.85 / $384.85	Facility		$363.06	$384.85	$384.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $404.09 / $444.50 / $960.20	Facility		$404.09	$444.50	$960.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $634.04 / $634.04 / $634.04	Professional		$634.04	$634.04	$634.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $381.50 / $389.89 / $487.36	Professional		$381.50	$389.89	$487.36
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $428.42	Professional		$384.85	$384.85	$428.42