Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $537.03	Professional		$288.40	$371.54	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $812.83	Professional		$398.11	$691.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $524.81 / $1,174.90	Facility		$309.03	$524.81	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $891.25	Professional		$389.05	$389.05	$891.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $446.68	Professional		$398.11	$407.38	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $1,096.48	Facility		$309.03	$512.86	$1,096.48
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 / $467.74	Professional		$30.20	$30.20	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $870.96	Facility		$302.00	$478.63	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $478.63	Professional		$263.03	$346.74	$478.63