Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,047.13	Professional		$691.83	$1,047.13	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $4,365.16	Facility		$1,318.26	$2,454.71	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,187.76	Facility		$724.44	$1,047.13	$2,187.76
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 $2,089.30 / $2,398.83 / $3,162.28	Facility		$2,089.30	$2,398.83	$3,162.28