Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.07 / $688.07 / $688.07	Facility		$688.07	$688.07	$688.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.25 / $655.29 / $688.07	Professional		$412.25	$655.29	$688.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $1,750.00 / $2,019.40	Professional		$655.29	$1,750.00	$2,019.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $655.29 / $655.29	Facility		$618.21	$655.29	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $460.75 / $791.28 / $2,259.39	Facility		$460.75	$791.28	$2,259.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $460.75 / $460.75 / $460.75	Professional		$460.75	$460.75	$460.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.88 / $655.29 / $720.83	Professional		$602.88	$655.29	$720.83