Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.05 / $9,062.00 / $17,247.00	Facility		$1,352.05	$9,062.00	$17,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.43 / $1,352.05 / $1,942.98	Professional		$1,164.43	$1,352.05	$1,942.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.32 / $9,602.04 / $16,900.34	Facility		$3,939.32	$9,602.04	$16,900.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.88 / $1,506.00 / $2,388.23	Professional		$1,120.88	$1,506.00	$2,388.23
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 $1,157.70 / $1,605.89 / $3,154.39	Professional		$1,157.70	$1,605.89	$3,154.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,149.24 / $1,487.26 / $2,614.10	Facility		$1,149.24	$1,487.26	$2,614.10
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 / $967.93 / $1,741.45	Professional		$114.07	$967.93	$1,741.45
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 $1,136.19 / $1,613.00 / $2,838.13	Professional		$1,136.19	$1,613.00	$2,838.13