Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,235.94 / $3,467.37	Professional		$1,659.59	$3,235.94	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $4,677.35	Professional		$2,884.03	$3,715.35	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,467.37 / $4,677.35	Facility		$1,659.59	$3,467.37	$4,677.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $3,715.35	Facility		$295.12	$588.84	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $3,981.07	Professional		$1,258.93	$2,884.03	$3,981.07