Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.84 / $960.84 / $960.84	Facility		$960.84	$960.84	$960.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.80 / $915.09 / $960.84	Professional		$448.80	$915.09	$960.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $1,143.85 / $1,924.78	Professional		$915.09	$1,143.85	$1,924.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.29 / $915.09 / $915.09	Facility		$863.29	$915.09	$915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $960.84 / $1,668.00	Facility		$665.00	$960.84	$1,668.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $665.00 / $665.00	Professional		$665.00	$665.00	$665.00
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 $841.88 / $915.09 / $1,006.60	Professional		$841.88	$915.09	$1,006.60