Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.42 / $823.42 / $823.42	Facility		$823.42	$823.42	$823.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.42 / $823.42 / $1,369.97	Professional		$823.42	$823.42	$1,369.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.00 / $1,342.69 / $1,951.08	Professional		$1,065.00	$1,342.69	$1,951.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $819.78 / $1,408.48 / $1,555.07	Facility		$819.78	$1,408.48	$1,555.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,106.88 / $1,408.48	Professional		$1,028.19	$1,106.88	$1,408.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $819.08 / $1,319.00 / $2,890.72	Facility		$819.08	$1,319.00	$2,890.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,035.00 / $1,112.00	Professional		$1,035.00	$1,035.00	$1,112.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,243.78 / $1,243.78 / $1,243.78	Professional		$1,243.78	$1,243.78	$1,243.78
United Facility/Professional Professional Modifier Low / Median / High Price $700.78 / $918.28 / $1,383.56	Professional		$700.78	$918.28	$1,383.56