Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,808.08 / $3,808.08 / $15,396.10	Facility		$3,808.08	$3,808.08	$15,396.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,808.08 / $3,808.08 / $5,789.52	Professional		$3,808.08	$3,808.08	$5,789.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,086.72 / $4,644.00 / $5,572.80	Professional		$4,086.72	$4,644.00	$5,572.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,808.08 / $5,108.39 / $6,470.64	Facility		$3,808.08	$5,108.39	$6,470.64
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 $3,870.00 / $3,870.00 / $3,870.00	Professional		$3,870.00	$3,870.00	$3,870.00