Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $13,489.63 / $20,417.38	Facility		$1,230.27	$13,489.63	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,089.30	Professional		$1,148.15	$1,412.54	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $2,041.74	Professional		$1,584.89	$1,698.24	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $30,902.95 / $61,659.50	Facility		$16,982.44	$30,902.95	$61,659.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,884.03	Facility		$1,230.27	$1,778.28	$2,884.03
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 $2,454.71 / $6,760.83 / $9,120.11	Facility		$2,454.71	$6,760.83	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $4,365.16	Professional		$1,348.96	$2,344.23	$4,365.16