Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.13 / $732.13 / $732.13	Facility		$732.13	$732.13	$732.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $732.13 / $927.12	Professional		$492.35	$732.13	$927.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,263.19 / $2,880.00 / $3,778.30	Professional		$1,263.19	$2,880.00	$3,778.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $1,017.80	Facility		$64.00	$64.00	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $743.11 / $1,252.74	Facility		$220.00	$743.11	$1,252.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $1,750.00 / $2,200.00	Professional		$841.50	$1,750.00	$2,200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Professional		$82.00	$82.00	$82.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $80.83 / $200.41	Professional		$50.71	$80.83	$200.41