Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $561.60 / $3,414.53	Facility		$504.00	$561.60	$3,414.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $576.00 / $626.40	Professional		$561.60	$576.00	$626.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $756.00 / $984.60	Professional		$720.00	$756.00	$984.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,308.53 / $2,087.28 / $4,105.30	Facility		$1,308.53	$2,087.28	$4,105.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $827.24 / $1,034.05	Professional		$827.24	$827.24	$1,034.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $619.20 / $954.72	Facility		$540.00	$619.20	$954.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $864.00	Professional		$302.39	$432.00	$864.00