Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.38 / $953.38 / $953.38	Facility		$953.38	$953.38	$953.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.38 / $953.38 / $1,686.68	Professional		$953.38	$953.38	$1,686.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.00 / $1,405.72 / $2,041.81	Professional		$1,115.00	$1,405.72	$2,041.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.91 / $1,172.51 / $1,294.55	Facility		$857.91	$1,172.51	$1,294.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,158.34 / $1,172.51	Professional		$855.93	$1,158.34	$1,172.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $857.16 / $1,380.00 / $3,025.14	Facility		$857.16	$1,380.00	$3,025.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,083.00 / $1,083.00 / $1,164.00	Professional		$1,083.00	$1,083.00	$1,164.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,301.61 / $1,301.61 / $1,301.61	Professional		$1,301.61	$1,301.61	$1,301.61
United Facility/Professional Professional Modifier Low / Median / High Price $721.28 / $939.68 / $1,208.16	Professional		$721.28	$939.68	$1,208.16