Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.93 / $688.93 / $688.93	Facility		$688.93	$688.93	$688.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.36 / $656.12 / $688.93	Professional		$181.36	$656.12	$688.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $787.35 / $1,609.32	Professional		$562.79	$787.35	$1,609.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.98 / $656.12 / $656.12	Facility		$618.98	$656.12	$656.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Professional		$656.12	$656.12	$656.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $656.12 / $1,460.53	Facility		$144.47	$656.12	$1,460.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $144.47 / $144.47	Professional		$144.47	$144.47	$144.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.63 / $656.12 / $721.73	Professional		$603.63	$656.12	$721.73