Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,584.89	Professional		$954.99	$1,258.93	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,041.74	Professional		$1,412.54	$1,698.24	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,659.59	Facility		$977.24	$977.24	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $2,630.27	Professional		$831.76	$977.24	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,318.26 / $1,698.24	Facility		$630.96	$1,318.26	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $630.96	Professional		$616.60	$616.60	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $660.69 / $1,174.90	Professional		$89.13	$660.69	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $851.14 / $1,445.44	Facility		$112.20	$851.14	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,380.38	Professional		$660.69	$954.99	$1,380.38