Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.30 / $713.30 / $2,621.72	Facility		$713.30	$713.30	$2,621.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.18 / $713.30 / $713.30	Professional		$672.18	$713.30	$713.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.49 / $869.88 / $1,043.85	Professional		$765.49	$869.88	$1,043.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $713.30 / $1,024.20	Facility		$684.00	$713.30	$1,024.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $85.80 / $276.44	Professional		$57.20	$85.80	$276.44