Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $13,182.57 / $41,686.94	Facility		$3,388.44	$13,182.57	$41,686.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,238.72	Professional		$1,148.15	$1,380.38	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $6,309.57	Facility		$3,630.78	$4,265.80	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,819.70	Professional		$1,202.26	$1,318.26	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $2,187.76	Facility		$34.67	$562.34	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $3,630.78	Professional		$1,096.48	$1,659.59	$3,630.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,995.26	Professional		$1,698.24	$1,698.24	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,754.23	Facility		$1,258.93	$1,737.80	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $12,589.25 / $19,498.45	Facility		$1,230.27	$12,589.25	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,454.71	Professional		$1,047.13	$1,380.38	$2,454.71