Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,737.80	Professional		$870.96	$1,096.48	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,398.83	Professional		$1,202.26	$2,041.74	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,380.38 / $3,467.37	Facility		$912.01	$1,380.38	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,454.71	Professional		$1,000.00	$1,000.00	$2,454.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,479.11	Professional		$1,023.29	$1,348.96	$1,479.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $3,311.31	Facility		$912.01	$1,548.82	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,380.38	Professional		$30.20	$30.20	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,754.23	Facility		$794.33	$1,513.56	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,548.82	Professional		$794.33	$1,023.29	$1,548.82