Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,479.11	Professional		$776.25	$1,023.29	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $2,137.96	Professional		$1,047.13	$1,819.70	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $3,311.31	Facility		$812.83	$1,348.96	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $2,398.83	Professional		$977.24	$977.24	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,202.26	Professional		$1,096.48	$1,202.26	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,412.54 / $2,951.21	Facility		$812.83	$1,412.54	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,230.27	Professional		$30.20	$30.20	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,454.71	Facility		$1,000.00	$1,348.96	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,348.96	Professional		$707.95	$912.01	$1,348.96