Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $676.08	Professional		$323.59	$446.68	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $1,096.48	Professional		$537.03	$933.25	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $1,380.38	Facility		$407.38	$645.65	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,122.02	Professional		$467.74	$467.74	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $501.19	Professional		$380.19	$446.68	$501.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,548.82	Facility		$407.38	$676.08	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $245.47	Professional		$239.88	$239.88	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $616.60	Professional		$30.20	$30.20	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $562.34 / $1,023.29	Facility		$489.78	$562.34	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $575.44	Professional		$309.03	$457.09	$575.44