Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.42 / $852.42 / $852.42	Facility		$852.42	$852.42	$852.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.84 / $852.42 / $1,508.06	Professional		$774.84	$852.42	$1,508.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.70 / $1,825.59	Professional		$1,000.00	$1,230.70	$1,825.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.05 / $891.35 / $984.12	Facility		$767.05	$891.35	$984.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $1,124.39 / $1,258.68	Professional		$650.69	$1,124.39	$1,258.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $766.40 / $1,234.00 / $2,704.78	Facility		$766.40	$1,234.00	$2,704.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $968.00 / $968.00 / $1,041.00	Professional		$968.00	$968.00	$1,041.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,163.78 / $1,163.78 / $1,163.78	Professional		$1,163.78	$1,163.78	$1,163.78
United Facility/Professional Professional Modifier Low / Median / High Price $572.80 / $800.77 / $1,035.42	Professional		$572.80	$800.77	$1,035.42