Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.15 / $1,470.66 / $1,470.66	Facility		$381.15	$1,470.66	$1,470.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.15 / $381.15 / $425.13	Professional		$381.15	$381.15	$425.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.41 / $1,930.84 / $3,323.70	Facility		$904.41	$1,930.84	$3,323.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $668.24 / $850.00	Professional		$488.66	$668.24	$850.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.09 / $1,416.63 / $2,947.37	Facility		$888.09	$1,416.63	$2,947.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.66 / $335.59 / $919.37	Professional		$247.66	$335.59	$919.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.82 / $682.72 / $908.91	Facility		$389.82	$682.72	$908.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.76 / $268.76 / $268.76	Professional		$268.76	$268.76	$268.76
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $332.49 / $535.07	Professional		$205.24	$332.49	$535.07