Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,818.38 / $3,162.28	Facility		$776.25	$2,818.38	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,000.00	Professional		$588.84	$776.25	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,071.52	Professional		$870.96	$933.25	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $1,000.00	Facility		$758.58	$891.25	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,041.74	Facility		$954.99	$954.99	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $912.01	Professional		$891.25	$891.25	$912.01