Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,187.76	Professional		$1,412.54	$1,737.80	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $1,949.84	Facility		$1,659.59	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,630.78	Professional		$1,659.59	$1,949.84	$3,630.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,818.38	Facility		$1,096.48	$1,862.09	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,096.48	Professional		$933.25	$933.25	$1,096.48
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 $181.97 / $1,096.48 / $1,905.46	Facility		$181.97	$1,096.48	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,290.87	Professional		$758.58	$1,230.27	$2,290.87