Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.75 / $958.75 / $958.75	Facility		$958.75	$958.75	$958.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.46 / $958.75 / $1,595.13	Professional		$906.46	$958.75	$1,595.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,240.00 / $1,526.07 / $2,271.75	Professional		$1,240.00	$1,526.07	$2,271.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.50 / $1,132.82 / $1,250.72	Facility		$954.50	$1,132.82	$1,250.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $1,481.92	Professional		$826.96	$826.96	$1,481.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $953.70 / $1,536.00 / $3,365.82	Facility		$953.70	$1,536.00	$3,365.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,205.00 / $1,205.00 / $1,295.00	Professional		$1,205.00	$1,205.00	$1,295.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Professional		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $753.71 / $1,045.50 / $1,362.73	Professional		$753.71	$1,045.50	$1,362.73