Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,661.00 / $5,866.00 / $9,870.00	Facility		$3,661.00	$5,866.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $1,362.26 / $2,775.60	Professional		$170.40	$1,362.26	$2,775.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,050.07 / $6,290.48 / $10,428.25	Facility		$3,050.07	$6,290.48	$10,428.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $535.00 / $570.00	Facility		$100.00	$535.00	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $1,600.00 / $1,760.00	Professional		$1,600.00	$1,600.00	$1,760.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $352.00 / $352.00	Facility		$160.00	$352.00	$352.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00