Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.77 / $412.26 / $1,650.64	Facility		$298.77	$412.26	$1,650.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.95 / $392.63 / $412.26	Professional		$351.95	$392.63	$412.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.60 / $310.29 / $544.89	Facility		$170.60	$310.29	$544.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $437.14 / $524.57	Professional		$392.63	$437.14	$524.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $392.63 / $448.52	Facility		$370.40	$392.63	$448.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $407.45	Professional		$392.63	$392.63	$407.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.63 / $351.95 / $606.29	Facility		$165.63	$351.95	$606.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $165.63 / $559.53	Professional		$165.63	$165.63	$559.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $384.38 / $403.06 / $950.72	Professional		$384.38	$403.06	$950.72
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $844.15	Facility		$392.63	$392.63	$844.15
United Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $416.19 / $455.45	Professional		$333.74	$416.19	$455.45