Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.40 / $8,960.00 / $16,467.00	Facility		$1,545.40	$8,960.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.70 / $1,545.40 / $2,021.92	Professional		$1,263.70	$1,545.40	$2,021.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,792.31 / $9,602.04 / $16,952.09	Facility		$3,792.31	$9,602.04	$16,952.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.94 / $1,340.37 / $2,347.91	Professional		$1,172.94	$1,340.37	$2,347.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $3,711.96 / $4,769.93	Facility		$815.00	$3,711.96	$4,769.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.68 / $1,672.05 / $3,290.72	Professional		$1,252.68	$1,672.05	$3,290.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,215.35 / $1,585.68 / $2,728.49	Facility		$1,215.35	$1,585.68	$2,728.49
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 $112.66 / $1,009.59 / $1,816.38	Professional		$112.66	$1,009.59	$1,816.38
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 $1,138.80 / $1,678.11 / $3,011.67	Professional		$1,138.80	$1,678.11	$3,011.67