Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.04 / $8,960.00 / $16,467.00	Facility		$2,064.04	$8,960.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,763.94 / $2,064.04 / $2,946.46	Professional		$1,763.94	$2,064.04	$2,946.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,916.00 / $9,528.23 / $16,900.34	Facility		$2,916.00	$9,528.23	$16,900.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,718.61 / $2,039.65 / $3,153.67	Professional		$1,718.61	$2,039.65	$3,153.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $815.00 / $815.00	Facility		$815.00	$815.00	$815.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,964.28 / $2,534.44 / $4,815.50	Professional		$1,964.28	$2,534.44	$4,815.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,758.92 / $2,338.39 / $4,084.33	Facility		$1,758.92	$2,338.39	$4,084.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $1,476.23 / $2,657.22	Professional		$153.35	$1,476.23	$2,657.22
United Facility/Professional Facility Modifier Low / Median / High Price $6,298.00 / $17,333.00 / $25,628.00	Facility		$6,298.00	$17,333.00	$25,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,733.81 / $2,516.46 / $4,567.60	Professional		$1,733.81	$2,516.46	$4,567.60