Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.54 / $593.54 / $593.54	Facility		$593.54	$593.54	$593.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $593.54 / $615.26	Professional		$579.07	$593.54	$615.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.32 / $721.00 / $875.00	Professional		$628.32	$721.00	$875.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $506.69 / $615.26 / $1,009.04	Facility		$506.69	$615.26	$1,009.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $506.69	Professional		$506.69	$506.69	$506.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $593.54 / $623.22	Professional		$30.00	$593.54	$623.22
United Facility/Professional Professional Modifier Low / Median / High Price $665.93 / $723.84 / $796.22	Professional		$665.93	$723.84	$796.22