Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $4,897.79	Facility		$1,479.11	$1,819.70	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,090.30	Professional		$1,230.27	$1,621.81	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,772.37 / $17,378.01	Facility		$5,623.41	$9,772.37	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,884.03	Professional		$1,148.15	$1,621.81	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,238.72	Facility		$891.25	$1,096.48	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,388.44	Professional		$1,621.81	$2,238.72	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,630.78	Professional		$3,235.94	$3,235.94	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,630.78	Facility		$1,412.54	$2,187.76	$3,630.78
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 $3,630.78 / $17,378.01 / $26,302.68	Facility		$3,630.78	$17,378.01	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,884.03	Professional		$1,202.26	$1,698.24	$2,884.03