Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,466.84	Facility		$1,548.82	$2,511.89	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,096.48	Facility		$616.60	$616.60	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $4,466.84	Facility		$2,884.03	$3,388.44	$4,466.84