Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.80 / $771.80 / $771.80	Facility		$771.80	$771.80	$771.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $771.80 / $907.36	Professional		$735.05	$771.80	$907.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $2,020.20 / $2,561.76	Professional		$735.05	$2,020.20	$2,561.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.44 / $735.05 / $735.05	Facility		$693.44	$735.05	$735.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $771.80 / $1,410.60 / $2,220.00	Facility		$771.80	$1,410.60	$2,220.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,554.00 / $1,554.00 / $1,554.00	Professional		$1,554.00	$1,554.00	$1,554.00
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 $698.30 / $735.05 / $996.24	Professional		$698.30	$735.05	$996.24