Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.70 / $300.70 / $300.70	Facility		$300.70	$300.70	$300.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.70 / $300.70 / $500.28	Professional		$300.70	$300.70	$500.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $491.69 / $712.50	Professional		$390.00	$491.69	$712.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.37 / $420.01 / $463.72	Facility		$299.37	$420.01	$463.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $404.21 / $420.01	Professional		$306.61	$404.21	$420.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $299.11 / $482.00 / $1,055.64	Facility		$299.11	$482.00	$1,055.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $406.00	Professional		$378.00	$378.00	$406.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $454.20 / $454.20 / $454.20	Professional		$454.20	$454.20	$454.20
United Facility/Professional Professional Modifier Low / Median / High Price $262.57 / $335.33 / $505.25	Professional		$262.57	$335.33	$505.25