Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $537.03	Professional		$302.00	$354.81	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $870.96	Professional		$426.58	$741.31	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $1,174.90	Facility		$323.59	$416.87	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $741.31	Professional		$302.00	$302.00	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $426.58	Professional		$389.05	$426.58	$426.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $1,148.15	Facility		$323.59	$524.81	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $208.93	Professional		$204.17	$204.17	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $489.78	Professional		$30.20	$30.20	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $478.63 / $870.96	Facility		$416.87	$478.63	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $489.78	Professional		$263.03	$363.08	$489.78