Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.34 / $914.34 / $914.34	Facility		$914.34	$914.34	$914.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.34 / $914.34 / $1,521.25	Professional		$914.34	$914.34	$1,521.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.00 / $1,500.28 / $2,166.52	Professional		$1,190.00	$1,500.28	$2,166.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.30 / $1,367.82 / $1,510.18	Facility		$910.30	$1,367.82	$1,510.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,229.09 / $1,367.82	Professional		$998.51	$1,229.09	$1,367.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $909.52 / $1,465.00 / $3,209.93	Facility		$909.52	$1,465.00	$3,209.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,149.00 / $1,149.00 / $1,235.00	Professional		$1,149.00	$1,149.00	$1,235.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,381.12 / $1,381.12 / $1,381.12	Professional		$1,381.12	$1,381.12	$1,381.12
United Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $1,536.34 / $1,614.49	Facility		$1.63	$1,536.34	$1,614.49
United Facility/Professional Professional Modifier Low / Median / High Price $686.58 / $1,019.68 / $1,536.34	Professional		$686.58	$1,019.68	$1,536.34