Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.28 / $9,062.00 / $18,276.00	Facility		$1,399.28	$9,062.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.75 / $1,250.49 / $1,598.23	Professional		$1,042.75	$1,250.49	$1,598.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,813.91 / $11,405.05 / $20,652.61	Facility		$4,813.91	$11,405.05	$20,652.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,193.18 / $1,921.02	Professional		$1,080.00	$1,193.18	$1,921.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $2,345.00 / $7,275.65	Facility		$1,387.75	$2,345.00	$7,275.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.52 / $1,621.40 / $2,704.11	Professional		$1,253.52	$1,621.40	$2,704.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,338.29 / $1,568.90 / $2,697.98	Facility		$1,338.29	$1,568.90	$2,697.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,154.33 / $6,154.33 / $6,154.33	Professional		$6,154.33	$6,154.33	$6,154.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $866.86 / $1,654.15	Professional		$150.60	$866.86	$1,654.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,526.00 / $24,161.00	Facility		$3,028.00	$19,526.00	$24,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.50 / $1,285.03 / $2,469.06	Professional		$1,003.50	$1,285.03	$2,469.06