Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.75 / $640.75 / $640.75	Facility		$640.75	$640.75	$640.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.75 / $640.75 / $1,066.06	Professional		$640.75	$640.75	$1,066.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.00 / $1,046.41 / $1,518.26	Professional		$830.00	$1,046.41	$1,518.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.91 / $895.00 / $988.16	Facility		$637.91	$895.00	$988.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $861.33 / $895.00	Professional		$653.35	$861.33	$895.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $637.37 / $1,026.00 / $2,249.44	Facility		$637.37	$1,026.00	$2,249.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $805.00 / $805.00 / $865.00	Professional		$805.00	$805.00	$865.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $967.86 / $967.86 / $967.86	Professional		$967.86	$967.86	$967.86
United Facility/Professional Professional Modifier Low / Median / High Price $476.38 / $714.57 / $1,076.64	Professional		$476.38	$714.57	$1,076.64