Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.13 / $3,000.45 / $16,467.00	Facility		$1,336.13	$3,000.45	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,119.64 / $1,323.14 / $1,791.08	Professional		$1,119.64	$1,323.14	$1,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,029.00 / $1,135.29 / $1,809.29	Professional		$1,029.00	$1,135.29	$1,809.29
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 $1,032.40 / $1,463.26 / $2,613.00	Professional		$1,032.40	$1,463.26	$2,613.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,061.89 / $1,338.12 / $2,271.42	Facility		$1,061.89	$1,338.12	$2,271.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,029.81 / $1,202.00 / $2,887.77	Professional		$1,029.81	$1,202.00	$2,887.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $1,093.60 / $1,790.84	Professional		$108.12	$1,093.60	$1,790.84
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 $944.68 / $1,263.59 / $2,667.60	Professional		$944.68	$1,263.59	$2,667.60