Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,949.84	Professional		$1,122.02	$1,548.82	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,137.96	Professional		$1,621.81	$1,778.28	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,041.74	Facility		$1,412.54	$1,412.54	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $3,235.94	Professional		$1,202.26	$1,412.54	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,884.03	Facility		$1,258.93	$1,659.59	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $776.25	Professional		$758.58	$758.58	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $707.95 / $1,348.96	Professional		$141.25	$707.95	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,174.90 / $1,862.09	Facility		$138.04	$1,174.90	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,137.96	Professional		$1,000.00	$1,380.38	$2,137.96