Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.80 / $1,180.80 / $1,180.80	Facility		$1,180.80	$1,180.80	$1,180.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $1,180.80 / $1,195.20	Professional		$489.60	$1,180.80	$1,195.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,292.54 / $1,483.20 / $1,800.00	Professional		$1,292.54	$1,483.20	$1,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $568.14 / $1,368.00 / $1,653.12	Facility		$568.14	$1,368.00	$1,653.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,368.00 / $1,368.00 / $1,368.00	Professional		$1,368.00	$1,368.00	$1,368.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $472.32 / $1,239.83	Professional		$30.00	$472.32	$1,239.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,200.00 / $1,284.00	Professional		$1,140.00	$1,200.00	$1,284.00