Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.96 / $582.96 / $582.96	Facility		$582.96	$582.96	$582.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $582.96 / $1,003.00	Professional		$555.20	$582.96	$1,003.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $2,695.00 / $3,109.88	Professional		$555.20	$2,695.00	$3,109.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.78 / $555.20 / $555.20	Facility		$523.78	$555.20	$555.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $555.20	Professional		$555.20	$555.20	$555.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.97 / $582.96 / $2,695.00	Facility		$133.97	$582.96	$2,695.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $133.97 / $133.97	Professional		$133.97	$133.97	$133.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $2,936.96 / $3,636.24	Professional		$55.00	$2,936.96	$3,636.24
United Facility/Professional Professional Modifier Low / Median / High Price $527.44 / $555.20 / $594.05	Professional		$527.44	$555.20	$594.05