Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.72 / $1,197.59 / $4,681.18	Facility		$555.72	$1,197.59	$4,681.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.47 / $534.54 / $666.86	Professional		$522.47	$534.54	$666.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.34 / $1,598.03 / $2,430.67	Facility		$674.34	$1,598.03	$2,430.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.42 / $1,074.25 / $1,507.02	Professional		$550.42	$1,074.25	$1,507.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $529.26 / $529.26	Facility		$499.30	$529.26	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $555.72 / $735.94 / $1,380.00	Facility		$555.72	$735.94	$1,380.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,133.25 / $2,133.25 / $2,133.25	Professional		$2,133.25	$2,133.25	$2,133.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $582.19	Professional		$529.26	$529.26	$582.19