Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $512.86	Professional		$263.03	$346.74	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $707.95	Professional		$346.74	$602.56	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $426.58 / $1,096.48	Facility		$269.15	$426.58	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $758.58	Professional		$309.03	$309.03	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $537.03	Professional		$407.38	$489.78	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $512.86 / $1,148.15	Facility		$269.15	$512.86	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $812.83	Facility		$338.84	$457.09	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $457.09	Professional		$234.42	$302.00	$457.09