Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,148.15	Professional		$537.03	$660.69	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,819.70	Professional		$1,318.26	$1,380.38	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $2,041.74	Facility		$724.44	$724.44	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,513.56	Professional		$524.81	$524.81	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $2,041.74	Facility		$630.96	$870.96	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $851.14	Professional		$371.54	$371.54	$851.14
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 $0.91 / $724.44 / $1,584.89	Facility		$0.91	$724.44	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $870.96	Professional		$457.09	$645.65	$870.96