Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,997.10 / $2,997.10 / $12,117.30	Facility		$2,997.10	$2,997.10	$12,117.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,890.00 / $2,997.10 / $2,997.10	Professional		$2,890.00	$2,997.10	$2,997.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,311.23 / $3,740.18 / $6,353.09	Facility		$2,311.23	$3,740.18	$6,353.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,216.40 / $3,655.00 / $4,386.00	Professional		$3,216.40	$3,655.00	$4,386.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,553.15 / $5,553.15 / $5,553.15	Facility		$5,553.15	$5,553.15	$5,553.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,997.10 / $3,596.52 / $4,046.09	Facility		$2,997.10	$3,596.52	$4,046.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,131.00 / $5,131.00 / $5,131.00	Professional		$5,131.00	$5,131.00	$5,131.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,788.00 / $3,049.10 / $3,811.37	Professional		$2,788.00	$3,049.10	$3,811.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,146.26 / $3,146.26 / $3,146.26	Facility		$3,146.26	$3,146.26	$3,146.26
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,045.83	Professional		$3,045.83	$3,045.83	$3,045.83