Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.18 / $749.18 / $749.18	Facility		$749.18	$749.18	$749.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $749.18 / $1,007.00	Professional		$713.50	$749.18	$1,007.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $1,140.00 / $1,315.50	Professional		$713.50	$1,140.00	$1,315.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $713.50 / $713.50	Facility		$673.11	$713.50	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $749.18 / $861.56 / $1,857.07	Facility		$749.18	$861.56	$1,857.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $798.00 / $798.00	Professional		$798.00	$798.00	$798.00
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 Facility Modifier Low / Median / High Price $1,609.18 / $1,609.18 / $1,609.18	Facility		$1,609.18	$1,609.18	$1,609.18
United Facility/Professional Professional Modifier Low / Median / High Price $642.15 / $713.50 / $967.03	Professional		$642.15	$713.50	$967.03