Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.39 / $278.39 / $278.39	Facility		$278.39	$278.39	$278.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.39 / $278.39 / $278.39	Professional		$221.39	$278.39	$278.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.67 / $2,137.36 / $3,593.83	Facility		$990.67	$2,137.36	$3,593.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.28 / $1,165.28 / $1,165.28	Facility		$1,165.28	$1,165.28	$1,165.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.60 / $278.39 / $408.92	Facility		$212.60	$278.39	$408.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,066.15 / $1,066.15 / $1,066.15	Professional		$1,066.15	$1,066.15	$1,066.15
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 Facility Modifier Low / Median / High Price $960.86 / $969.57 / $1,038.41	Facility		$960.86	$969.57	$1,038.41
United Facility/Professional Professional Modifier Low / Median / High Price $216.02 / $309.26 / $555.41	Professional		$216.02	$309.26	$555.41