Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,677.35 / $5,128.61	Facility		$1,288.25	$4,677.35	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $1,318.26	Professional		$660.69	$1,288.25	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $213.80 / $489.78	Facility		$77.62	$213.80	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,778.28	Professional		$1,318.26	$1,548.82	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,479.11	Facility		$1,318.26	$1,318.26	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $295.12	Professional		$158.49	$199.53	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,258.93 / $1,698.24	Facility		$223.87	$1,258.93	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $851.14	Professional		$30.20	$30.20	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,380.38 / $1,445.44	Professional		$371.54	$1,380.38	$1,445.44