Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.04 / $852.04 / $852.04	Facility		$852.04	$852.04	$852.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.04 / $852.04 / $1,417.60	Professional		$852.04	$852.04	$1,417.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.00 / $1,808.08 / $2,292.04	Professional		$1,190.00	$1,808.08	$2,292.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,712.77	Facility		$1,551.30	$1,551.30	$1,712.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,145.36 / $1,551.30	Professional		$1,132.45	$1,145.36	$1,551.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $847.56 / $1,393.72 / $2,991.22	Facility		$847.56	$1,393.72	$2,991.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,393.72 / $1,393.72 / $1,393.72	Professional		$1,393.72	$1,393.72	$1,393.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,287.03 / $1,287.03 / $1,287.03	Professional		$1,287.03	$1,287.03	$1,287.03
United Facility/Professional Professional Modifier Low / Median / High Price $725.14 / $950.20 / $1,431.67	Professional		$725.14	$950.20	$1,431.67