Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.41 / $547.41 / $547.41	Facility		$547.41	$547.41	$547.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.24 / $547.41 / $968.48	Professional		$525.24	$547.41	$968.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $787.65 / $1,172.39	Professional		$640.00	$787.65	$1,172.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.61 / $769.23 / $849.29	Facility		$492.61	$769.23	$849.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.54 / $665.12 / $769.23	Professional		$561.54	$665.12	$769.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $492.18 / $793.00 / $1,737.02	Facility		$492.18	$793.00	$1,737.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $622.00 / $622.00 / $668.00	Professional		$622.00	$622.00	$668.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $747.38 / $747.38 / $747.38	Professional		$747.38	$747.38	$747.38
United Facility/Professional Professional Modifier Low / Median / High Price $367.86 / $546.86 / $701.39	Professional		$367.86	$546.86	$701.39