Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.43 / $931.43 / $931.43	Facility		$931.43	$931.43	$931.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.43 / $931.43 / $1,647.85	Professional		$931.43	$931.43	$1,647.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,089.00 / $1,372.95 / $1,994.80	Professional		$1,089.00	$1,372.95	$1,994.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.15 / $1,277.46 / $1,410.42	Facility		$838.15	$1,277.46	$1,410.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,131.69 / $1,277.46	Professional		$932.55	$1,131.69	$1,277.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $837.43 / $1,349.00 / $2,955.50	Facility		$837.43	$1,349.00	$2,955.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,058.00 / $1,058.00 / $1,137.00	Professional		$1,058.00	$1,058.00	$1,137.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,271.65 / $1,271.65 / $1,271.65	Professional		$1,271.65	$1,271.65	$1,271.65
United Facility/Professional Professional Modifier Low / Median / High Price $635.78 / $930.48 / $1,265.67	Professional		$635.78	$930.48	$1,265.67