Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.23 / $1,807.31 / $4,926.77	Facility		$1,484.23	$1,807.31	$4,926.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.83 / $1,537.39 / $2,459.82	Professional		$1,261.83	$1,537.39	$2,459.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,577.52 / $10,744.95 / $17,033.70	Facility		$5,577.52	$10,744.95	$17,033.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.39 / $1,574.50 / $3,047.61	Professional		$1,214.39	$1,574.50	$3,047.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $1,101.10 / $2,222.92	Facility		$890.00	$1,101.10	$2,222.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.43 / $2,264.81 / $3,483.13	Professional		$1,759.43	$2,264.81	$3,483.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,487.24 / $2,191.56 / $3,343.16	Facility		$1,487.24	$2,191.56	$3,343.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,043.28 / $1,043.28 / $1,043.28	Professional		$1,043.28	$1,043.28	$1,043.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $1,146.11 / $2,103.73	Professional		$150.60	$1,146.11	$2,103.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,223.00 / $23,485.00	Facility		$2,912.00	$16,223.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.27 / $1,945.79 / $3,660.00	Professional		$1,378.27	$1,945.79	$3,660.00