Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,008.14 / $4,008.14 / $16,016.30	Facility		$4,008.14	$4,008.14	$16,016.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,092.44 / $4,008.14 / $4,008.14	Professional		$3,092.44	$4,008.14	$4,008.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,175.28 / $3,760.27 / $6,011.75	Facility		$2,175.28	$3,760.27	$6,011.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,459.53 / $5,220.13	Professional		$3,817.28	$4,459.53	$5,220.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,817.28 / $3,817.28	Facility		$3,601.20	$3,817.28	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,008.14 / $4,459.53 / $5,410.99	Facility		$4,008.14	$4,459.53	$5,410.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,367.69 / $5,367.69 / $5,367.69	Professional		$5,367.69	$5,367.69	$5,367.69
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 $3,817.28 / $4,046.32 / $4,249.43	Professional		$3,817.28	$4,046.32	$4,249.43