Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.93 / $3,724.84 / $16,467.00	Facility		$1,644.93	$3,724.84	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.72 / $1,644.93 / $2,201.15	Professional		$1,375.72	$1,644.93	$2,201.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,292.24 / $1,447.31 / $2,454.59	Professional		$1,292.24	$1,447.31	$2,454.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $560.00 / $615.00	Facility		$100.00	$560.00	$615.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $1,818.75 / $3,330.82	Professional		$1,340.00	$1,818.75	$3,330.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,399.41 / $1,677.83 / $2,808.78	Facility		$1,399.41	$1,677.83	$2,808.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,458.23 / $1,566.00 / $3,637.12	Professional		$1,458.23	$1,566.00	$3,637.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $1,286.10 / $2,115.24	Professional		$139.79	$1,286.10	$2,115.24
United Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $6,074.00 / $8,818.00	Facility		$454.00	$6,074.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,191.50 / $1,594.74 / $3,075.57	Professional		$1,191.50	$1,594.74	$3,075.57