Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $602.56	Professional		$346.74	$398.11	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $1,148.15	Professional		$831.76	$870.96	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,288.25	Facility		$524.81	$524.81	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $933.25	Professional		$380.19	$380.19	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $588.84	Professional		$549.54	$549.54	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $1,288.25	Facility		$363.08	$602.56	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $245.47	Professional		$234.42	$234.42	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $549.54	Professional		$30.20	$30.20	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $0.58 / $549.54 / $977.24	Facility		$0.58	$549.54	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $562.34	Professional		$302.00	$407.38	$562.34