Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,964.78 / $18,197.01	Facility		$3,630.78	$10,964.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $3,388.44	Professional		$1,202.26	$1,380.38	$3,388.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,585.78 / $14,454.40	Facility		$1,584.89	$7,585.78	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,981.07	Professional		$1,202.26	$1,659.59	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,238.72	Facility		$891.25	$891.25	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,951.21	Professional		$1,380.38	$1,778.28	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $3,019.95	Professional		$2,137.96	$2,137.96	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,019.95	Facility		$1,318.26	$1,778.28	$3,019.95
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 $1,122.02 / $1,380.38 / $2,344.23	Professional		$1,122.02	$1,380.38	$2,344.23