Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,174.90	Professional		$676.08	$776.25	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $1,905.46	Professional		$954.99	$1,621.81	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $954.99 / $2,511.89	Facility		$338.84	$954.99	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,862.09	Professional		$691.83	$691.83	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,047.13	Professional		$794.33	$933.25	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,174.90 / $2,511.89	Facility		$707.95	$1,174.90	$2,511.89
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 / $1,071.52	Professional		$30.20	$30.20	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1,071.52 / $1,949.84	Facility		$1.12	$1,071.52	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,096.48	Professional		$588.84	$794.33	$1,096.48