Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.90 / $835.90 / $3,396.77	Facility		$835.90	$835.90	$3,396.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.15 / $835.90 / $840.16	Professional		$739.15	$835.90	$840.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,065.50 / $1,065.50 / $1,065.50	Facility		$1,065.50	$1,065.50	$1,065.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.92 / $796.09 / $995.12	Professional		$448.92	$796.09	$995.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $796.09 / $796.09	Facility		$751.03	$796.09	$796.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $796.09	Professional		$796.09	$796.09	$796.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $739.15 / $835.90 / $1,210.51	Facility		$739.15	$835.90	$1,210.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.33 / $398.33 / $853.96	Professional		$398.33	$398.33	$853.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $608.32 / $656.12 / $1,064.56	Professional		$608.32	$656.12	$1,064.56
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $796.09 / $796.09	Professional		$318.44	$796.09	$796.09