Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,288.25 / $2,290.87	Facility		$691.83	$1,288.25	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $281.84 / $524.81	Facility		$251.19	$281.84	$524.81
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 $1,288.25 / $1,479.11 / $1,949.84	Facility		$1,288.25	$1,479.11	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53