Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.27 / $848.27 / $848.27	Facility		$848.27	$848.27	$848.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.10 / $848.27 / $1,411.33	Professional		$801.10	$848.27	$1,411.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,896.21 / $1,896.21 / $2,281.90	Professional		$1,896.21	$1,896.21	$2,281.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,467.94	Facility		$1,329.56	$1,329.56	$1,467.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $1,193.82	Professional		$970.58	$970.58	$1,193.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $569.78 / $1,411.33 / $2,977.99	Facility		$569.78	$1,411.33	$2,977.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,425.04 / $1,425.04 / $1,425.04	Professional		$1,425.04	$1,425.04	$1,425.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,281.34 / $1,281.34 / $1,281.34	Professional		$1,281.34	$1,281.34	$1,281.34
United Facility/Professional Professional Modifier Low / Median / High Price $658.14 / $946.00 / $1,282.54	Professional		$658.14	$946.00	$1,282.54