Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.49 / $1,324.49 / $1,324.49	Facility		$1,324.49	$1,324.49	$1,324.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.71 / $1,324.49 / $1,450.57	Professional		$855.71	$1,324.49	$1,450.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,656.60 / $1,656.60 / $2,064.29	Professional		$1,656.60	$1,656.60	$2,064.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $127.35	Facility		$120.00	$120.00	$127.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $125.77	Professional		$102.00	$120.00	$125.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $1,324.49 / $2,601.67	Facility		$128.34	$1,324.49	$2,601.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $128.34	Professional		$128.34	$128.34	$128.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $77.00 / $126.91	Professional		$51.80	$77.00	$126.91