Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.73 / $5,621.00 / $9,870.00	Facility		$1,402.73	$5,621.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.64 / $1,402.73 / $1,797.82	Professional		$1,123.64	$1,402.73	$1,797.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,768.35 / $7,239.95 / $12,392.04	Facility		$2,768.35	$7,239.95	$12,392.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,070.23 / $1,323.91 / $2,278.76	Professional		$1,070.23	$1,323.91	$2,278.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,208.42 / $3,208.42 / $4,122.88	Facility		$3,208.42	$3,208.42	$4,122.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.22 / $1,618.62 / $3,009.86	Professional		$1,201.22	$1,618.62	$3,009.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,123.64 / $1,543.00 / $2,547.76	Facility		$1,123.64	$1,543.00	$2,547.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,459.87 / $2,838.69 / $3,329.76	Professional		$1,459.87	$2,838.69	$3,329.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $1,083.46 / $1,789.64	Professional		$108.60	$1,083.46	$1,789.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,186.00 / $12,456.00 / $22,523.00	Facility		$5,186.00	$12,456.00	$22,523.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,132.10 / $1,560.53 / $3,032.82	Professional		$1,132.10	$1,560.53	$3,032.82