Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,716.55 / $9,062.00 / $17,247.00	Facility		$1,716.55	$9,062.00	$17,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.31 / $1,716.55 / $2,593.05	Professional		$1,542.31	$1,716.55	$2,593.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,792.31 / $9,602.04 / $16,952.09	Facility		$3,792.31	$9,602.04	$16,952.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,422.53 / $1,648.00 / $2,897.68	Professional		$1,422.53	$1,648.00	$2,897.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $3,711.96 / $4,769.93	Facility		$1,130.00	$3,711.96	$4,769.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,488.98 / $2,037.28 / $4,004.78	Professional		$1,488.98	$2,037.28	$4,004.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,462.80 / $1,866.09 / $3,321.00	Facility		$1,462.80	$1,866.09	$3,321.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,016.98 / $3,284.20 / $3,851.65	Professional		$2,016.98	$3,284.20	$3,851.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $1,217.29 / $2,193.51	Professional		$114.07	$1,217.29	$2,193.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,959.00 / $23,485.00	Facility		$2,912.00	$16,959.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,454.04 / $1,964.49 / $3,607.45	Professional		$1,454.04	$1,964.49	$3,607.45