Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.53 / $3,573.61 / $16,467.00	Facility		$1,390.53	$3,573.61	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.90 / $1,468.73 / $2,349.96	Professional		$1,147.90	$1,468.73	$2,349.96
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 $1,093.50 / $1,427.00 / $2,316.23	Professional		$1,093.50	$1,427.00	$2,316.23
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 $1,170.54 / $1,684.83 / $3,016.81	Professional		$1,170.54	$1,684.83	$3,016.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $1,599.11 / $2,722.01	Facility		$1,175.00	$1,599.11	$2,722.01
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 $142.32 / $1,223.13 / $2,195.47	Professional		$142.32	$1,223.13	$2,195.47
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 $1,317.24 / $1,976.69 / $3,923.32	Professional		$1,317.24	$1,976.69	$3,923.32