Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.32 / $9,450.00 / $18,276.00	Facility		$1,123.32	$9,450.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.32 / $1,177.23 / $1,515.98	Professional		$1,123.32	$1,177.23	$1,515.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,783.09 / $10,173.37 / $17,240.66	Facility		$4,783.09	$10,173.37	$17,240.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $1,339.50 / $7,275.65	Facility		$890.00	$1,339.50	$7,275.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,578.48 / $5,578.48 / $5,578.48	Professional		$5,578.48	$5,578.48	$5,578.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,123.32 / $1,143.08 / $1,910.02	Facility		$1,123.32	$1,143.08	$1,910.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,154.33 / $6,154.33 / $6,154.33	Professional		$6,154.33	$6,154.33	$6,154.33
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 Facility Modifier Low / Median / High Price $4,628.00 / $20,341.00 / $27,446.00	Facility		$4,628.00	$20,341.00	$27,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.03 / $1,446.24 / $2,547.57	Professional		$1,033.03	$1,446.24	$2,547.57