Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $3,801.89	Facility		$851.14	$1,122.02	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $912.01	Professional		$794.33	$870.96	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,288.25	Professional		$933.25	$1,096.48	$1,288.25
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 $870.96 / $1,071.52 / $1,174.90	Facility		$870.96	$1,071.52	$1,174.90
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 $707.95 / $741.31 / $1,584.89	Facility		$707.95	$741.31	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $954.99	Professional		$891.25	$891.25	$954.99