Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,867.48 / $1,867.48 / $1,867.48	Facility		$1,867.48	$1,867.48	$1,867.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,867.48 / $1,867.48 / $2,407.12	Professional		$1,867.48	$1,867.48	$2,407.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $5,000.00 / $6,303.68	Professional		$4,000.00	$5,000.00	$6,303.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,576.44 / $2,576.44 / $2,576.44	Facility		$2,576.44	$2,576.44	$2,576.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $1,472.88	Professional		$192.51	$1,472.88	$1,472.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $502.20 / $1,867.48 / $2,407.12	Facility		$502.20	$1,867.48	$2,407.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $4,850.00 / $4,850.00	Professional		$567.00	$4,850.00	$4,850.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.11 / $227.11 / $302.81	Professional		$227.11	$227.11	$302.81
United Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $216.24 / $1,889.02	Professional		$119.37	$216.24	$1,889.02