Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.82 / $971.82 / $971.82	Facility		$971.82	$971.82	$971.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.38 / $971.82 / $1,616.89	Professional		$945.38	$971.82	$1,616.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $1,550.68 / $2,302.73	Professional		$1,260.00	$1,550.68	$2,302.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.53 / $1,599.98 / $1,766.51	Facility		$967.53	$1,599.98	$1,766.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,306.38 / $1,599.98	Professional		$1,167.99	$1,306.38	$1,599.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $966.70 / $1,557.00 / $3,411.72	Facility		$966.70	$1,557.00	$3,411.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,222.00 / $1,222.00 / $1,313.00	Professional		$1,222.00	$1,222.00	$1,313.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,467.95 / $1,467.95 / $1,467.95	Professional		$1,467.95	$1,467.95	$1,467.95
United Facility/Professional Professional Modifier Low / Median / High Price $827.08 / $1,083.78 / $1,632.93	Professional		$827.08	$1,083.78	$1,632.93