Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $2,238.72	Facility		$691.83	$1,023.29	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $954.99	Professional		$512.86	$512.86	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $3,630.78	Facility		$1,122.02	$1,995.26	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $537.03 / $1,071.52	Facility		$512.86	$537.03	$1,071.52
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 $3,311.31 / $3,801.89 / $5,011.87	Facility		$3,311.31	$3,801.89	$5,011.87