Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,057.00 / $2,173.00	Facility		$425.00	$2,057.00	$2,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $425.00 / $425.00	Professional		$370.50	$425.00	$425.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.43 / $1,938.42 / $3,215.68	Facility		$1,126.43	$1,938.42	$3,215.68
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
Medcost Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $450.50 / $722.50	Facility		$425.00	$450.50	$722.50
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 / $368.12 / $427.38	Facility		$368.12	$368.12	$427.38