Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.65 / $9,062.00 / $17,247.00	Facility		$1,413.65	$9,062.00	$17,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.71 / $1,413.65 / $2,030.96	Professional		$1,215.71	$1,413.65	$2,030.96
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 $1,172.63 / $1,625.00 / $2,857.24	Professional		$1,172.63	$1,625.00	$2,857.24
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 $1,240.48 / $1,689.80 / $3,298.11	Professional		$1,240.48	$1,689.80	$3,298.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,204.67 / $1,540.45 / $2,739.91	Facility		$1,204.67	$1,540.45	$2,739.91
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 / $1,003.61 / $1,820.52	Professional		$114.07	$1,003.61	$1,820.52
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 $1,189.64 / $1,656.94 / $2,973.68	Professional		$1,189.64	$1,656.94	$2,973.68