Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,471.29 / $18,197.01	Facility		$3,801.89	$10,471.29	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,884.03	Professional		$1,202.26	$1,412.54	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,585.78 / $14,454.40	Facility		$2,187.76	$7,585.78	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,691.53	Professional		$1,202.26	$1,737.80	$2,691.53
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 $1,348.96 / $1,819.70 / $3,019.95	Professional		$1,348.96	$1,819.70	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,090.30	Professional		$2,187.76	$2,187.76	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,090.30	Facility		$1,318.26	$1,778.28	$3,090.30
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 / $1,412.54 / $2,454.71	Professional		$1,122.02	$1,412.54	$2,454.71