Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.49 / $409.49 / $409.49	Facility		$409.49	$409.49	$409.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $409.49 / $424.47	Professional		$399.50	$409.49	$424.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.68 / $513.71 / $623.44	Professional		$447.68	$513.71	$623.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $409.49 / $474.41 / $687.94	Facility		$409.49	$474.41	$687.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $474.41 / $474.41 / $474.41	Professional		$474.41	$474.41	$474.41
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 $459.47 / $499.42 / $549.36	Professional		$459.47	$499.42	$549.36