Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.42 / $298.42 / $298.42	Facility		$298.42	$298.42	$298.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.33 / $298.42 / $527.95	Professional		$286.33	$298.42	$527.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.96 / $492.28 / $703.32	Professional		$388.96	$492.28	$703.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $420.22	Facility		$380.61	$380.61	$420.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $381.41	Professional		$277.85	$277.85	$381.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $268.30 / $423.01 / $946.90	Facility		$268.30	$423.01	$946.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $423.01 / $423.01 / $423.01	Professional		$423.01	$423.01	$423.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.42 / $407.42 / $407.42	Professional		$407.42	$407.42	$407.42
United Facility/Professional Professional Modifier Low / Median / High Price $200.53 / $286.24 / $362.58	Professional		$200.53	$286.24	$362.58