Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,348.96	Professional		$616.60	$776.25	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $1,819.70	Professional		$891.25	$1,548.82	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $851.14 / $2,454.71	Facility		$676.08	$851.14	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,778.28	Professional		$616.60	$616.60	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,000.00	Professional		$676.08	$891.25	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $2,454.71	Facility		$724.44	$1,148.15	$2,454.71
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 / $1,047.13	Professional		$30.20	$30.20	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $1,819.70	Facility		$630.96	$776.25	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $954.99	Professional		$562.34	$758.58	$954.99