Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $467.74	Professional		$245.47	$346.74	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $676.08	Professional		$338.84	$575.44	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $489.78 / $1,047.13	Facility		$104.71	$489.78	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $776.25	Professional		$363.08	$363.08	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $457.09	Professional		$323.59	$407.38	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $446.68 / $1,023.29	Facility		$257.04	$446.68	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
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 $302.00 / $426.58 / $776.25	Facility		$302.00	$426.58	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $426.58	Professional		$223.87	$288.40	$426.58