Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,572.90 / $2,173.00	Facility		$318.75	$1,572.90	$2,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $425.00	Professional		$318.75	$318.75	$425.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,048.77 / $1,931.24 / $3,193.74	Facility		$1,048.77	$1,931.24	$3,193.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.13 / $1,797.13 / $1,807.57	Facility		$315.13	$1,797.13	$1,807.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.54 / $1,471.54 / $1,471.54	Professional		$1,471.54	$1,471.54	$1,471.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $375.00 / $541.88	Facility		$318.75	$375.00	$541.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.42 / $300.42 / $300.42	Professional		$300.42	$300.42	$300.42
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 Facility Modifier Low / Median / High Price $368.12 / $427.38 / $1,738.21	Facility		$368.12	$427.38	$1,738.21