Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,513.56	Professional		$616.60	$851.14	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $2,041.74	Professional		$1,000.00	$1,737.80	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $2,570.40	Facility		$758.58	$891.25	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $2,041.74	Professional		$645.65	$645.65	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,047.13	Professional		$724.44	$933.25	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $2,818.38	Facility		$776.25	$1,230.27	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,174.90	Professional		$30.20	$30.20	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,949.84	Facility		$707.95	$870.96	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,071.52	Professional		$588.84	$831.76	$1,071.52