Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $4,365.16	Professional		$2,630.27	$3,467.37	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,265.80	Facility		$3,467.37	$3,467.37	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $7,413.10	Professional		$2,951.21	$3,467.37	$7,413.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,168.69 / $6,456.54	Facility		$2,884.03	$4,168.69	$6,456.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,995.26	Professional		$1,698.24	$1,698.24	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,311.31	Professional		$1,862.09	$2,454.71	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,754.23 / $4,570.88	Facility		$363.08	$2,754.23	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $4,570.88	Professional		$2,137.96	$3,090.30	$4,570.88