Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $228.34	Professional		$203.81	$203.81	$228.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $1,470.64 / $3,185.59	Facility		$799.00	$1,470.64	$3,185.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.23 / $259.35 / $429.23	Professional		$216.23	$259.35	$429.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,099.86 / $4,066.76 / $6,564.41	Facility		$1,099.86	$4,066.76	$6,564.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.11 / $346.13 / $596.90	Professional		$249.11	$346.13	$596.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.73 / $324.00 / $879.64	Facility		$208.73	$324.00	$879.64
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 $41.02 / $239.07 / $320.79	Professional		$41.02	$239.07	$320.79
United Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $342.00 / $524.38	Professional		$259.70	$342.00	$524.38