Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,786.30 / $9,120.11	Facility		$1,348.96	$4,786.30	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,137.96	Professional		$1,348.96	$1,548.82	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,691.53	Professional		$1,949.84	$2,089.30	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,897.79 / $10,964.78	Facility		$1,258.93	$4,897.79	$10,964.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $3,548.13	Facility		$1,445.44	$1,737.80	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,344.23	Facility		$1,737.80	$1,949.84	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,949.84	Professional		$812.83	$1,174.90	$1,949.84