Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.83 / $806.00 / $1,101.00	Professional		$730.83	$806.00	$1,101.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $1,150.00 / $1,324.39	Facility		$660.00	$1,150.00	$1,324.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $600.00 / $780.00	Facility		$510.00	$600.00	$780.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $3,260.00 / $3,260.00	Professional		$27.56	$3,260.00	$3,260.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $224.84	Professional		$30.00	$30.00	$224.84
United Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $396.27 / $1,500.00	Professional		$279.72	$396.27	$1,500.00