Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.28 / $2,147.54 / $13,057.00	Facility		$1,927.28	$2,147.54	$13,057.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,147.54 / $2,147.54 / $2,202.60	Professional		$2,147.54	$2,147.54	$2,202.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,753.25 / $2,890.91 / $3,799.49	Professional		$2,753.25	$2,890.91	$3,799.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,003.75 / $6,782.62 / $15,698.46	Facility		$5,003.75	$6,782.62	$15,698.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,147.54 / $2,753.25 / $3,303.90	Facility		$2,147.54	$2,753.25	$3,303.90
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 $1,156.36 / $1,376.63 / $2,507.14	Professional		$1,156.36	$1,376.63	$2,507.14