Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $2,464.00 / $16,693.20	Facility		$2,464.00	$2,464.00	$16,693.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,464.00 / $2,464.00 / $2,464.00	Professional		$2,464.00	$2,464.00	$2,464.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $4,813.60	Professional		$3,520.00	$3,520.00	$4,813.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,397.25 / $10,204.48 / $20,070.34	Facility		$6,397.25	$10,204.48	$20,070.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,598.22 / $4,994.45 / $5,056.14	Professional		$1,598.22	$4,994.45	$5,056.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,640.00 / $3,020.16 / $4,430.20	Facility		$2,640.00	$3,020.16	$4,430.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $3,520.00	Professional		$3,520.00	$3,520.00	$3,520.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,936.00 / $1,936.00 / $2,787.84	Professional		$1,936.00	$1,936.00	$2,787.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $2,112.00 / $4,224.00	Professional		$1,478.40	$2,112.00	$4,224.00