Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.63 / $581.63 / $581.63	Facility		$581.63	$581.63	$581.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $581.63 / $679.27	Professional		$553.94	$581.63	$679.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $1,005.77 / $1,275.38	Professional		$553.94	$1,005.77	$1,275.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.58 / $553.94 / $553.94	Facility		$522.58	$553.94	$553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Professional		$553.94	$553.94	$553.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $628.89 / $1,250.00	Facility		$553.94	$628.89	$1,250.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $608.78 / $608.78 / $608.78	Professional		$608.78	$608.78	$608.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $260.31 / $581.63	Professional		$55.00	$260.31	$581.63
United Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $553.94 / $592.72	Professional		$247.92	$553.94	$592.72