Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,012.14 / $3,012.14 / $12,178.10	Facility		$3,012.14	$3,012.14	$12,178.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,012.14 / $3,012.14 / $3,559.58	Professional		$3,012.14	$3,012.14	$3,559.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,696.00 / $4,200.00 / $5,040.00	Professional		$3,696.00	$4,200.00	$5,040.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Facility		$3,384.12	$3,384.12	$3,384.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,512.83 / $3,012.14 / $4,620.00	Facility		$2,512.83	$3,012.14	$4,620.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,200.00	Professional		$4,200.00	$4,200.00	$4,200.00