Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,570.88	Professional		$2,884.03	$3,630.78	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $3,467.37	Professional		$2,290.87	$2,818.38	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $3,311.31 / $8,128.31	Professional		$199.53	$3,311.31	$8,128.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,630.78 / $4,570.88	Facility		$602.56	$3,630.78	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,754.23	Professional		$2,344.23	$2,344.23	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $2,691.53 / $4,677.35	Professional		$30.20	$2,691.53	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,570.40 / $4,168.69	Facility		$346.74	$2,570.40	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $4,365.16	Professional		$1,584.89	$2,630.27	$4,365.16