Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,174.90	Professional		$660.69	$891.25	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $1,949.84	Professional		$1,071.52	$1,548.82	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,754.23	Facility		$1,258.93	$1,258.93	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $2,089.30	Professional		$912.01	$912.01	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,202.26	Professional		$851.14	$1,148.15	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,754.23	Facility		$691.83	$1,174.90	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,047.13	Professional		$30.20	$30.20	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1,148.15 / $2,089.30	Facility		$1.23	$1,148.15	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,148.15	Professional		$602.56	$776.25	$1,148.15