Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.53 / $1,105.53 / $1,105.53	Facility		$1,105.53	$1,105.53	$1,105.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.79 / $1,052.89 / $1,105.53	Professional		$277.79	$1,052.89	$1,105.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $996.67 / $1,052.89 / $1,316.11	Professional		$996.67	$1,052.89	$1,316.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $1,052.89 / $1,052.89	Facility		$993.29	$1,052.89	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $222.39 / $998.00 / $1,547.74	Facility		$222.39	$998.00	$1,547.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.39 / $222.39 / $222.39	Professional		$222.39	$222.39	$222.39
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 $997.27 / $1,052.89 / $1,126.58	Professional		$997.27	$1,052.89	$1,126.58