Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $484.42	Facility		$484.42	$484.42	$484.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $461.36 / $484.42	Professional		$241.60	$461.36	$484.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $656.11 / $1,924.78	Professional		$461.36	$656.11	$1,924.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $461.36 / $461.36	Facility		$435.24	$461.36	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Professional		$461.36	$461.36	$461.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.01 / $484.42 / $1,668.00	Facility		$250.01	$484.42	$1,668.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.01 / $250.01 / $250.01	Professional		$250.01	$250.01	$250.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $484.42 / $652.02	Professional		$55.00	$484.42	$652.02
United Facility/Professional Professional Modifier Low / Median / High Price $424.45 / $461.36 / $507.50	Professional		$424.45	$461.36	$507.50