Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.78 / $916.78 / $916.78	Facility		$916.78	$916.78	$916.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.64 / $916.78 / $1,621.92	Professional		$879.64	$916.78	$1,621.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,852.28 / $1,852.28 / $2,229.03	Professional		$1,852.28	$1,852.28	$2,229.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $1,135.42	Facility		$1,028.38	$1,028.38	$1,135.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $1,166.18	Professional		$750.72	$750.72	$1,166.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $824.26 / $1,355.41 / $2,909.00	Facility		$824.26	$1,355.41	$2,909.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,355.41 / $1,355.41 / $1,355.41	Professional		$1,355.41	$1,355.41	$1,355.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,251.64 / $1,251.64 / $1,251.64	Professional		$1,251.64	$1,251.64	$1,251.64
United Facility/Professional Professional Modifier Low / Median / High Price $616.05 / $878.47 / $1,113.89	Professional		$616.05	$878.47	$1,113.89