Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.75 / $308.75 / $308.75	Facility		$308.75	$308.75	$308.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.51 / $308.75 / $513.69	Professional		$287.51	$308.75	$513.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $485.38 / $731.59	Professional		$385.00	$485.38	$731.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $426.41	Facility		$386.20	$386.20	$426.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $415.03	Professional		$281.93	$281.93	$415.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.13 / $505.02 / $1,116.76	Facility		$302.13	$505.02	$1,116.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $505.02 / $505.02 / $505.02	Professional		$505.02	$505.02	$505.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $466.36 / $466.36 / $466.36	Professional		$466.36	$466.36	$466.36
United Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $341.24 / $448.76	Professional		$248.21	$341.24	$448.76