Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.92 / $401.92 / $401.92	Facility		$401.92	$401.92	$401.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.92 / $401.92 / $668.70	Professional		$401.92	$401.92	$668.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $639.96 / $952.35	Professional		$520.00	$639.96	$952.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.14 / $695.50 / $767.89	Facility		$400.14	$695.50	$767.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $540.28 / $695.50	Professional		$507.72	$540.28	$695.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $399.81 / $644.00 / $1,411.00	Facility		$399.81	$644.00	$1,411.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $505.00 / $543.00	Professional		$505.00	$505.00	$543.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $607.11 / $607.11 / $607.11	Professional		$607.11	$607.11	$607.11
United Facility/Professional Professional Modifier Low / Median / High Price $342.06 / $438.28 / $620.36	Professional		$342.06	$438.28	$620.36