Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.13 / $489.13 / $489.13	Facility		$489.13	$489.13	$489.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.82 / $489.13 / $813.80	Professional		$475.82	$489.13	$813.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.00 / $800.56 / $1,158.99	Professional		$635.00	$800.56	$1,158.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.97 / $719.79 / $794.71	Facility		$486.97	$719.79	$794.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $657.51 / $719.79	Professional		$525.45	$657.51	$719.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $486.55 / $784.00 / $1,717.16	Facility		$486.55	$784.00	$1,717.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $615.00 / $661.00	Professional		$615.00	$615.00	$661.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $738.83 / $738.83 / $738.83	Professional		$738.83	$738.83	$738.83
United Facility/Professional Professional Modifier Low / Median / High Price $367.29 / $545.48 / $821.87	Professional		$367.29	$545.48	$821.87