Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.67 / $491.67 / $491.67	Facility		$491.67	$491.67	$491.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.74 / $491.67 / $869.83	Professional		$471.74	$491.67	$869.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $630.37 / $1,043.04	Professional		$500.00	$630.37	$1,043.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $608.94	Facility		$551.53	$551.53	$608.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $551.53 / $597.38	Professional		$402.62	$551.53	$597.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $442.04 / $726.90 / $1,560.09	Facility		$442.04	$726.90	$1,560.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $726.90 / $726.90 / $726.90	Professional		$726.90	$726.90	$726.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $671.25 / $671.25 / $671.25	Professional		$671.25	$671.25	$671.25
United Facility/Professional Professional Modifier Low / Median / High Price $330.39 / $473.49 / $597.38	Professional		$330.39	$473.49	$597.38