Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.45 / $810.45 / $810.45	Facility		$810.45	$810.45	$810.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.45 / $810.45 / $1,348.41	Professional		$810.45	$810.45	$1,348.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,323.77 / $1,920.36	Professional		$1,050.00	$1,323.77	$1,920.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $806.87 / $1,349.13 / $1,489.54	Facility		$806.87	$1,349.13	$1,489.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $1,320.13	Professional		$984.86	$984.86	$1,320.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $806.18 / $1,298.00 / $2,845.21	Facility		$806.18	$1,298.00	$2,845.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,019.00 / $1,019.00 / $1,095.00	Professional		$1,019.00	$1,019.00	$1,095.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,224.20 / $1,224.20 / $1,224.20	Professional		$1,224.20	$1,224.20	$1,224.20
United Facility/Professional Professional Modifier Low / Median / High Price $608.57 / $903.82 / $1,361.78	Professional		$608.57	$903.82	$1,361.78