Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.86 / $756.86 / $3,059.99	Facility		$756.86	$756.86	$3,059.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.55 / $756.86 / $965.27	Professional		$682.55	$756.86	$965.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $48.19 / $85.16	Facility		$26.87	$48.19	$85.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.00 / $756.86 / $1,015.30	Facility		$616.00	$756.86	$1,015.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,128.45 / $1,128.45 / $1,128.45	Professional		$1,128.45	$1,128.45	$1,128.45
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 $769.17 / $769.17 / $769.17	Professional		$769.17	$769.17	$769.17