Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.79 / $381.79 / $381.79	Facility		$381.79	$381.79	$381.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.52 / $381.79 / $635.21	Professional		$355.52	$381.79	$635.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.23 / $750.73 / $1,027.03	Professional		$575.23	$750.73	$1,027.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $583.78	Facility		$528.74	$528.74	$583.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $513.22 / $528.74	Professional		$385.98	$513.22	$528.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $379.78 / $624.50 / $1,380.94	Facility		$379.78	$624.50	$1,380.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $624.50 / $624.50 / $624.50	Professional		$624.50	$624.50	$624.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $576.69 / $576.69 / $576.69	Professional		$576.69	$576.69	$576.69
United Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $425.77 / $602.86	Professional		$313.29	$425.77	$602.86