Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.10 / $504.10 / $504.10	Facility		$504.10	$504.10	$504.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.10 / $504.10 / $838.70	Professional		$504.10	$504.10	$838.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $825.78 / $1,194.46	Professional		$655.00	$825.78	$1,194.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.88 / $957.73 / $1,057.42	Facility		$501.88	$957.73	$1,057.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $957.73	Professional		$699.14	$699.14	$957.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.44 / $808.00 / $1,769.71	Facility		$501.44	$808.00	$1,769.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $634.00 / $681.00	Professional		$634.00	$634.00	$681.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $761.45 / $761.45 / $761.45	Professional		$761.45	$761.45	$761.45
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $378.53 / $562.17 / $822.21	Professional		$378.53	$562.17	$822.21