Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,174.90	Professional		$602.56	$776.25	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $1,584.89	Professional		$776.25	$1,348.96	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $831.76 / $2,454.71	Facility		$588.84	$831.76	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,778.28	Professional		$602.56	$602.56	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $977.24	Professional		$724.44	$870.96	$977.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,096.48 / $2,187.76	Facility		$660.69	$1,096.48	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $1,819.70	Facility		$660.69	$831.76	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $891.25	Professional		$512.86	$660.69	$891.25