Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.53 / $690.53 / $690.53	Facility		$690.53	$690.53	$690.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.53 / $690.53 / $1,148.88	Professional		$690.53	$690.53	$1,148.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,042.02 / $1,359.92 / $1,857.57	Professional		$1,042.02	$1,359.92	$1,857.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,392.07	Facility		$1,260.83	$1,260.83	$1,392.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,132.57 / $1,260.83	Professional		$920.41	$1,132.57	$1,260.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $686.89 / $1,129.52 / $2,497.67	Facility		$686.89	$1,129.52	$2,497.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,129.52 / $1,129.52 / $1,129.52	Professional		$1,129.52	$1,129.52	$1,129.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $1,043.05	Professional		$1,043.05	$1,043.05	$1,043.05
United Facility/Professional Professional Modifier Low / Median / High Price $587.69 / $770.08 / $1,160.27	Professional		$587.69	$770.08	$1,160.27