Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.45 / $460.45 / $460.45	Facility		$460.45	$460.45	$460.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.55 / $460.45 / $814.62	Professional		$418.55	$460.45	$814.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.00 / $738.42 / $1,054.98	Professional		$577.00	$738.42	$1,054.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $576.88 / $636.91	Facility		$73.27	$576.88	$636.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $559.46 / $576.88	Professional		$421.12	$559.46	$576.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $413.99 / $652.70 / $1,461.06	Facility		$413.99	$652.70	$1,461.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $652.70 / $652.70 / $652.70	Professional		$652.70	$652.70	$652.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $628.64 / $628.64 / $628.64	Professional		$628.64	$628.64	$628.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,102.16 / $1,102.16 / $1,102.16	Facility		$1,102.16	$1,102.16	$1,102.16
United Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $443.44 / $583.52	Professional		$309.42	$443.44	$583.52