Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,122.02	Professional		$645.65	$870.96	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,089.30	Professional		$1,096.48	$1,513.56	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,949.84	Facility		$776.25	$776.25	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,479.11	Professional		$512.86	$512.86	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $724.44	Professional		$645.65	$724.44	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,905.46	Facility		$707.95	$1,000.00	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $724.44	Professional		$30.20	$30.20	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $812.83 / $1,479.11	Facility		$426.58	$812.83	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $676.08	Professional		$407.38	$537.03	$676.08