Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,806.37 / $9,855.00 / $18,276.00	Facility		$1,806.37	$9,855.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.24 / $1,637.44 / $1,825.55	Professional		$1,417.24	$1,637.44	$1,825.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,268.85 / $10,399.86 / $18,360.62	Facility		$4,268.85	$10,399.86	$18,360.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,438.76 / $2,321.23	Professional		$1,305.00	$1,438.76	$2,321.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,795.12	Facility		$890.00	$890.00	$1,795.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,470.78 / $2,199.28 / $3,494.12	Professional		$1,470.78	$2,199.28	$3,494.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,615.28 / $2,062.67 / $3,082.85	Facility		$1,615.28	$2,062.67	$3,082.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,637.00 / $16,959.00 / $25,758.00	Facility		$3,637.00	$16,959.00	$25,758.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,130.65 / $1,602.61 / $3,588.39	Professional		$1,130.65	$1,602.61	$3,588.39