Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,142.60 / $4,142.60 / $16,748.50	Facility		$4,142.60	$4,142.60	$16,748.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,976.07 / $4,142.60 / $4,142.60	Professional		$3,976.07	$4,142.60	$4,142.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,445.72 / $5,051.95 / $6,062.34	Professional		$4,445.72	$5,051.95	$6,062.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,287.49 / $4,142.60 / $5,557.15	Facility		$1,287.49	$4,142.60	$5,557.15
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 $4,209.96 / $4,209.96 / $4,209.96	Professional		$4,209.96	$4,209.96	$4,209.96