Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $2,884.03	Facility		$724.44	$954.99	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Professional		$691.83	$691.83	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,122.02	Facility		$436.52	$630.96	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $870.96	Professional		$691.83	$741.31	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $691.83 / $977.24	Facility		$645.65	$691.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $741.31	Professional		$691.83	$691.83	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $741.31 / $1,230.27	Facility		$691.83	$741.31	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $691.83 / $1,479.11	Facility		$645.65	$691.83	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $758.58	Professional		$588.84	$724.44	$758.58