Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $501.19	Professional		$257.04	$346.74	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $707.95	Professional		$346.74	$588.84	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $398.11 / $1,071.52	Facility		$263.03	$398.11	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $776.25	Professional		$295.12	$295.12	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $398.11	Professional		$354.81	$398.11	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $446.68 / $1,000.00	Facility		$263.03	$446.68	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
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 $389.05 / $446.68 / $812.83	Facility		$389.05	$446.68	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $446.68	Professional		$229.09	$295.12	$446.68