Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.39 / $660.09 / $4,013.35	Facility		$592.39	$660.09	$4,013.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.09 / $787.03 / $1,287.22	Professional		$660.09	$787.03	$1,287.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,210.00 / $5,210.00 / $5,567.80	Facility		$5,210.00	$5,210.00	$5,567.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $846.27 / $1,157.27	Professional		$270.00	$846.27	$1,157.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,538.02 / $2,084.80 / $4,825.30	Facility		$1,538.02	$2,084.80	$4,825.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.16 / $537.82 / $1,933.54	Professional		$384.16	$537.82	$1,933.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.09 / $846.27 / $1,227.08	Facility		$660.09	$846.27	$1,227.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $465.45 / $465.45 / $465.45	Professional		$465.45	$465.45	$465.45
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $846.27	Professional		$355.43	$507.76	$846.27