Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.57 / $875.57 / $3,539.93	Facility		$875.57	$875.57	$3,539.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.93 / $875.57 / $1,086.28	Professional		$732.93	$875.57	$1,086.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.35 / $1,951.66 / $3,384.64	Facility		$1,041.35	$1,951.66	$3,384.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.28 / $1,348.03 / $1,671.43	Professional		$1,246.28	$1,348.03	$1,671.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,001.02 / $1,001.02 / $1,001.02	Facility		$1,001.02	$1,001.02	$1,001.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.61 / $1,523.52 / $2,337.53	Professional		$1,211.61	$1,523.52	$2,337.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $875.57 / $1,073.19 / $1,488.47	Facility		$875.57	$1,073.19	$1,488.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $949.53 / $949.53 / $949.53	Professional		$949.53	$949.53	$949.53
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 $1,112.45 / $1,308.77 / $1,308.77	Professional		$1,112.45	$1,308.77	$1,308.77