Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $602.56	Professional		$288.40	$389.05	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $891.25	Professional		$436.52	$758.58	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $416.87 / $1,174.90	Facility		$331.13	$416.87	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $933.25	Professional		$309.03	$309.03	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $501.19	Professional		$338.84	$446.68	$501.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $1,122.02	Facility		$338.84	$562.34	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $218.78	Professional		$213.80	$213.80	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $912.01	Facility		$309.03	$501.19	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $512.86	Professional		$281.84	$371.54	$512.86