Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $851.14	Professional		$467.74	$602.56	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,380.38	Professional		$676.08	$1,148.15	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $1,905.46	Facility		$512.86	$870.96	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,584.89	Professional		$645.65	$645.65	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $758.58	Professional		$549.54	$691.83	$758.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $1,862.09	Facility		$512.86	$870.96	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $354.81	Professional		$346.74	$346.74	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $776.25	Professional		$30.20	$30.20	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $1,479.11	Facility		$616.60	$812.83	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $812.83	Professional		$446.68	$575.44	$812.83