Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,071.52	Professional		$645.65	$851.14	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,047.13	Professional		$794.33	$851.14	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,071.52	Facility		$645.65	$645.65	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,737.80	Professional		$549.54	$645.65	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,548.82	Facility		$691.83	$912.01	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $512.86	Professional		$436.52	$436.52	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $436.52 / $776.25	Professional		$58.88	$436.52	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $660.69 / $1,096.48	Facility		$89.13	$660.69	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,122.02	Professional		$537.03	$758.58	$1,122.02