Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,801.89 / $4,265.80	Facility		$1,047.13	$3,801.89	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,122.02	Professional		$1,023.29	$1,071.52	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $912.01 / $1,621.81	Facility		$426.58	$912.01	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,621.81	Professional		$1,096.48	$1,348.96	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,041.74	Facility		$1,096.48	$1,096.48	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,000.00	Professional		$501.19	$645.65	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,096.48 / $1,584.89	Facility		$489.78	$1,096.48	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,202.26	Professional		$1,047.13	$1,047.13	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,202.26	Professional		$912.01	$1,148.15	$1,202.26