Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,124.90 / $2,124.90 / $8,590.96	Facility		$2,124.90	$2,124.90	$8,590.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,996.78 / $2,124.90 / $2,124.90	Professional		$1,996.78	$2,124.90	$2,124.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,751.29 / $3,963.32 / $6,312.52	Facility		$1,751.29	$3,963.32	$6,312.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.56 / $934.56 / $1,225.49	Professional		$934.56	$934.56	$1,225.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,124.90 / $2,549.88 / $2,868.62	Facility		$2,124.90	$2,549.88	$2,868.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,014.24 / $4,014.24 / $4,014.24	Professional		$4,014.24	$4,014.24	$4,014.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,159.44	Professional		$2,159.44	$2,159.44	$2,159.44