Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.55 / $640.55 / $640.55	Facility		$640.55	$640.55	$640.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.96 / $640.55 / $739.61	Professional		$570.96	$640.55	$739.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.85 / $1,618.16 / $2,798.71	Facility		$707.85	$1,618.16	$2,798.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.00 / $733.15 / $1,006.71	Professional		$623.00	$733.15	$1,006.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.13 / $2,161.32 / $3,488.72	Facility		$1,007.13	$2,161.32	$3,488.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.76 / $869.42 / $1,500.53	Professional		$629.76	$869.42	$1,500.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $683.87 / $972.00 / $1,908.89	Facility		$683.87	$972.00	$1,908.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $492.71 / $492.71 / $492.71	Professional		$492.71	$492.71	$492.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $303.47 / $542.41 / $1,014.18	Professional		$303.47	$542.41	$1,014.18
United Facility/Professional Professional Modifier Low / Median / High Price $607.22 / $885.53 / $1,504.34	Professional		$607.22	$885.53	$1,504.34