Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $407.38	Professional		$380.19	$398.11	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $524.81	Professional		$117.49	$165.96	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $676.08	Facility		$302.00	$446.68	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $338.84	Professional		$30.20	$54.95	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $446.68 / $478.63	Professional		$125.89	$446.68	$478.63