Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.81 / $696.81 / $696.81	Facility		$696.81	$696.81	$696.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $696.81 / $850.00	Professional		$663.63	$696.81	$850.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $915.81 / $1,092.04	Professional		$663.63	$915.81	$1,092.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.05 / $663.63 / $663.63	Facility		$626.05	$663.63	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $801.33 / $1,477.24	Facility		$304.00	$801.33	$1,477.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $304.00	Professional		$304.00	$304.00	$304.00
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 $597.27 / $663.63 / $729.99	Professional		$597.27	$663.63	$729.99