Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.70 / $394.70 / $394.70	Facility		$394.70	$394.70	$394.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.75 / $394.70 / $656.68	Professional		$372.75	$394.70	$656.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.29 / $882.29 / $1,061.75	Professional		$882.29	$882.29	$1,061.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $689.56	Facility		$624.54	$624.54	$689.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $530.55 / $624.54	Professional		$455.91	$530.55	$624.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $386.26 / $643.67 / $1,385.64	Facility		$386.26	$643.67	$1,385.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $645.60 / $645.60	Professional		$645.60	$645.60	$645.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $596.19 / $596.19 / $596.19	Professional		$596.19	$596.19	$596.19
United Facility/Professional Professional Modifier Low / Median / High Price $293.44 / $436.24 / $602.66	Professional		$293.44	$436.24	$602.66