Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $585.00 / $3,556.80	Facility		$525.00	$585.00	$3,556.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $585.00 / $652.50	Professional		$585.00	$585.00	$652.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,025.63	Professional		$750.00	$750.00	$1,025.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,363.05 / $2,174.25 / $4,276.35	Facility		$1,363.05	$2,174.25	$4,276.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $861.93 / $1,077.41	Professional		$861.93	$861.93	$1,077.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $645.00 / $994.50	Facility		$562.50	$645.00	$994.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
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 $315.00 / $450.00 / $1,125.00	Professional		$315.00	$450.00	$1,125.00