Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,174.90	Professional		$630.96	$933.25	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,288.25	Professional		$933.25	$1,047.13	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Professional		$85.11	$85.11	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $831.76 / $1,412.54	Facility		$125.89	$831.76	$1,412.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
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 $87.10 / $117.49 / $1,122.02	Facility		$87.10	$117.49	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $812.83	Professional		$58.88	$74.13	$812.83