Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $819.00 / $4,979.52	Facility		$735.00	$819.00	$4,979.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $819.00 / $913.50	Professional		$819.00	$819.00	$913.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,464.24 / $6,464.24 / $6,908.19	Facility		$6,464.24	$6,464.24	$6,908.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,435.88	Professional		$1,050.00	$1,050.00	$1,435.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,908.27 / $3,043.95 / $5,986.89	Facility		$1,908.27	$3,043.95	$5,986.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.77 / $810.52 / $2,394.25	Professional		$476.77	$810.52	$2,394.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $1,042.34 / $1,365.00	Facility		$819.00	$1,042.34	$1,365.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,042.34 / $1,042.34 / $1,050.00	Professional		$1,042.34	$1,042.34	$1,050.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $577.50 / $577.50 / $831.60	Professional		$577.50	$577.50	$831.60
United Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $598.90 / $1,050.00	Professional		$441.00	$598.90	$1,050.00