Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.30 / $823.09 / $823.20	Facility		$720.30	$823.09	$823.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $692.86 / $823.20	Professional		$686.00	$692.86	$823.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.83 / $488.83 / $519.54	Facility		$488.83	$488.83	$519.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.48 / $524.48 / $524.48	Professional		$524.48	$524.48	$524.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.29 / $686.00 / $686.00	Facility		$642.29	$686.00	$686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Professional		$686.00	$686.00	$686.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $853.63 / $853.63 / $853.63	Professional		$853.63	$853.63	$853.63
United Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Facility		$686.00	$686.00	$686.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.70 / $686.00 / $893.53	Professional		$651.70	$686.00	$893.53