Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,122.02	Professional		$575.44	$741.31	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $1,513.56	Professional		$741.31	$1,288.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,047.13 / $2,290.87	Facility		$562.34	$1,047.13	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,737.80	Professional		$776.25	$776.25	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $851.14	Professional		$724.44	$758.58	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $2,089.30	Facility		$630.96	$1,047.13	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $870.96	Professional		$30.20	$30.20	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $1,737.80	Facility		$630.96	$831.76	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $851.14	Professional		$489.78	$630.96	$851.14