Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.37 / $12,075.00 / $20,243.00	Facility		$1,380.37	$12,075.00	$20,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,252.60 / $1,380.37 / $1,380.37	Professional		$1,252.60	$1,380.37	$1,380.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,784.39 / $8,112.63 / $13,640.85	Facility		$3,784.39	$8,112.63	$13,640.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,010.68 / $12,402.00 / $20,144.00	Facility		$5,010.68	$12,402.00	$20,144.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,173.31 / $1,493.45 / $2,805.85	Facility		$1,173.31	$1,493.45	$2,805.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,528.51 / $4,528.51 / $4,528.51	Professional		$4,528.51	$4,528.51	$4,528.51
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 $3,028.00 / $19,627.00 / $25,620.00	Facility		$3,028.00	$19,627.00	$25,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,267.23 / $2,217.65 / $3,662.93	Professional		$1,267.23	$2,217.65	$3,662.93