Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.65 / $1,199.65 / $4,850.18	Facility		$1,199.65	$1,199.65	$4,850.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.52 / $1,199.65 / $1,199.65	Professional		$1,132.52	$1,199.65	$1,199.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.11 / $1,516.56 / $2,442.28	Facility		$879.11	$1,516.56	$2,442.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,287.43 / $1,462.99 / $1,755.59	Professional		$1,287.43	$1,462.99	$1,755.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,462.99	Facility		$1,243.54	$1,243.54	$1,462.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,199.65 / $1,439.58 / $1,619.53	Facility		$1,199.65	$1,439.58	$1,619.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,963.97 / $1,963.97 / $1,963.97	Professional		$1,963.97	$1,963.97	$1,963.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,073.13 / $1,223.34 / $1,529.18	Professional		$1,073.13	$1,223.34	$1,529.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,219.16	Professional		$1,219.16	$1,219.16	$1,219.16