Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.61 / $1,326.61 / $5,363.48	Facility		$1,326.61	$1,326.61	$5,363.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,326.61 / $1,375.15 / $1,375.15	Professional		$1,326.61	$1,375.15	$1,375.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.37 / $1,363.09 / $2,316.17	Facility		$696.37	$1,363.09	$2,316.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,423.68 / $1,617.82 / $1,941.38	Professional		$1,423.68	$1,617.82	$1,941.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $414.82 / $1,326.61 / $1,790.92	Facility		$414.82	$1,326.61	$1,790.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,326.61 / $1,483.00 / $1,853.75	Professional		$1,326.61	$1,483.00	$1,853.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,388.63	Professional		$1,388.63	$1,388.63	$1,388.63