Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.40 / $627.40 / $627.40	Facility		$627.40	$627.40	$627.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $627.40 / $1,109.96	Professional		$570.29	$627.40	$1,109.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.72 / $984.56 / $1,406.64	Professional		$271.72	$984.56	$1,406.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $819.11	Facility		$741.89	$741.89	$819.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $741.89 / $762.28	Professional		$541.58	$741.89	$762.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $564.08 / $889.33 / $1,990.77	Facility		$564.08	$889.33	$1,990.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $889.33 / $889.33 / $889.33	Professional		$889.33	$889.33	$889.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $856.56 / $856.56 / $856.56	Professional		$856.56	$856.56	$856.56
United Facility/Professional Professional Modifier Low / Median / High Price $421.60 / $601.78 / $762.28	Professional		$421.60	$601.78	$762.28