Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.52 / $728.52 / $2,945.41	Facility		$728.52	$728.52	$2,945.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.20 / $709.62 / $728.52	Professional		$596.20	$709.62	$728.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $395.84 / $655.40	Facility		$219.78	$395.84	$655.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.80 / $914.34 / $1,190.82	Professional		$870.80	$914.34	$1,190.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.79 / $1,652.89 / $2,668.04	Facility		$335.79	$1,652.89	$2,668.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.47 / $1,047.30 / $2,133.65	Professional		$822.47	$1,047.30	$2,133.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $728.52 / $1,256.07 / $1,557.53	Facility		$728.52	$1,256.07	$1,557.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.29 / $276.29 / $276.29	Professional		$276.29	$276.29	$276.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $756.62 / $1,071.00 / $1,646.60	Professional		$756.62	$1,071.00	$1,646.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,237.39 / $2,582.52 / $3,403.69	Facility		$2,237.39	$2,582.52	$3,403.69
United Facility/Professional Professional Modifier Low / Median / High Price $770.76 / $1,124.02 / $1,647.86	Professional		$770.76	$1,124.02	$1,647.86