Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.63 / $9,062.00 / $17,247.00	Facility		$1,919.63	$9,062.00	$17,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.75 / $1,919.63 / $2,519.60	Professional		$1,574.75	$1,919.63	$2,519.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.32 / $9,602.04 / $16,900.34	Facility		$3,939.32	$9,602.04	$16,900.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,462.19 / $1,904.00 / $3,347.80	Professional		$1,462.19	$1,904.00	$3,347.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,711.96 / $3,711.96 / $4,769.93	Facility		$3,711.96	$3,711.96	$4,769.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.50 / $2,047.68 / $4,087.60	Professional		$1,575.50	$2,047.68	$4,087.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,576.29 / $2,033.56 / $3,446.07	Facility		$1,576.29	$2,033.56	$3,446.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,016.98 / $3,284.20 / $3,851.65	Professional		$2,016.98	$3,284.20	$3,851.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $1,234.06 / $2,215.39	Professional		$150.99	$1,234.06	$2,215.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,959.00 / $23,485.00	Facility		$2,912.00	$16,959.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.10 / $2,169.48 / $3,802.04	Professional		$1,478.10	$2,169.48	$3,802.04