Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,479.11	Professional		$588.84	$776.25	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $1,995.26	Professional		$977.24	$1,698.24	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $831.76 / $2,454.71	Facility		$741.31	$831.76	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,548.82	Professional		$616.60	$616.60	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $933.25	Professional		$676.08	$851.14	$933.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $2,630.27	Facility		$724.44	$1,122.02	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $436.52	Professional		$426.58	$426.58	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,122.02	Professional		$30.20	$30.20	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,819.70	Facility		$660.69	$870.96	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,047.13	Professional		$562.34	$794.33	$1,047.13