Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $758.58	Professional		$338.84	$457.09	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,202.26	Professional		$588.84	$1,023.29	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $501.19 / $1,380.38	Facility		$457.09	$501.19	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,000.00	Professional		$363.08	$363.08	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $588.84	Professional		$407.38	$537.03	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $1,348.96	Facility		$457.09	$691.83	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $251.19	Professional		$245.47	$245.47	$251.19
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 $257.04 / $575.44 / $1,047.13	Facility		$257.04	$575.44	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $630.96	Professional		$323.59	$512.86	$630.96