Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.24 / $714.24 / $714.24	Facility		$714.24	$714.24	$714.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.48 / $714.24 / $1,188.32	Professional		$674.48	$714.24	$1,188.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,596.58 / $1,596.58 / $1,921.32	Professional		$1,596.58	$1,596.58	$1,921.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $978.91	Facility		$886.63	$886.63	$978.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $886.63 / $960.11	Professional		$647.24	$886.63	$960.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $698.94 / $1,168.29 / $2,507.42	Facility		$698.94	$1,168.29	$2,507.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.29 / $1,168.29 / $1,168.29	Professional		$1,168.29	$1,168.29	$1,168.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,078.85 / $1,078.85 / $1,078.85	Professional		$1,078.85	$1,078.85	$1,078.85
United Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $789.41 / $1,066.57	Professional		$589.91	$789.41	$1,066.57