Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.68 / $915.68 / $915.68	Facility		$915.68	$915.68	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.80 / $915.68 / $915.68	Professional		$880.80	$915.68	$915.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.65 / $995.65 / $1,025.74	Professional		$995.65	$995.65	$1,025.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $311.36 / $872.08 / $1,556.66	Facility		$311.36	$872.08	$1,556.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $337.91 / $337.91 / $337.91	Professional		$337.91	$337.91	$337.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $904.99 / $904.99 / $950.23	Professional		$904.99	$904.99	$950.23
United Facility/Professional Professional Modifier Low / Median / High Price $802.31 / $872.08 / $915.68	Professional		$802.31	$872.08	$915.68