Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.87 / $344.87 / $344.87	Facility		$344.87	$344.87	$344.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.90 / $344.87 / $610.13	Professional		$330.90	$344.87	$610.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $561.03 / $782.44	Professional		$432.00	$561.03	$782.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $483.04	Facility		$437.50	$437.50	$483.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $437.50 / $437.50	Professional		$319.38	$437.50	$437.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $344.87 / $545.34 / $1,127.46	Facility		$344.87	$545.34	$1,127.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $545.34 / $545.34 / $545.34	Professional		$545.34	$545.34	$545.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $470.83 / $470.83 / $470.83	Professional		$470.83	$470.83	$470.83
United Facility/Professional Professional Modifier Low / Median / High Price $231.74 / $332.11 / $484.53	Professional		$231.74	$332.11	$484.53