Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,943.28 / $16,595.87	Facility		$2,089.30	$7,943.28	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,311.31	Professional		$1,621.81	$1,905.46	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $9,332.54 / $17,782.79	Facility		$1,148.15	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $3,981.07	Professional		$1,621.81	$2,630.27	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $3,090.30	Facility		$891.25	$891.25	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $4,073.80	Professional		$2,089.30	$2,754.23	$4,073.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,168.69	Professional		$4,073.80	$4,073.80	$4,168.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $4,677.35	Facility		$1,819.70	$2,691.53	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $19,498.45 / $25,703.96	Facility		$4,677.35	$19,498.45	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,801.89	Professional		$1,513.56	$1,995.26	$3,801.89