Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.54 / $910.54 / $910.54	Facility		$910.54	$910.54	$910.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.54 / $910.54 / $1,514.91	Professional		$910.54	$910.54	$1,514.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,180.00 / $1,452.23 / $2,157.50	Professional		$1,180.00	$1,452.23	$2,157.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.51 / $1,271.83 / $1,404.19	Facility		$906.51	$1,271.83	$1,404.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $1,223.98 / $1,271.83	Professional		$928.44	$1,223.98	$1,271.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $905.74 / $1,458.00 / $3,196.56	Facility		$905.74	$1,458.00	$3,196.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,144.00 / $1,144.00 / $1,230.00	Professional		$1,144.00	$1,144.00	$1,230.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,375.37 / $1,375.37 / $1,375.37	Professional		$1,375.37	$1,375.37	$1,375.37
United Facility/Professional Professional Modifier Low / Median / High Price $676.95 / $1,015.43 / $1,529.94	Professional		$676.95	$1,015.43	$1,529.94