Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,754.40 / $18,197.01	Facility		$4,466.84	$5,754.40	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $4,897.79	Professional		$3,548.13	$4,265.80	$4,897.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $204.17 / $4,570.88	Facility		$69.18	$204.17	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $4,677.35 / $5,370.32	Professional		$131.83	$4,677.35	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $6,025.60	Facility		$3,981.07	$4,265.80	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,570.88	Professional		$4,265.80	$4,265.80	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $194.98 / $331.13	Professional		$56.23	$194.98	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $4,265.80 / $6,165.95	Facility		$77.62	$4,265.80	$6,165.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $10,232.93 / $10,715.19	Professional		$30.20	$10,232.93	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $9,120.11	Facility		$3,981.07	$4,265.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $4,786.30	Professional		$3,630.78	$4,466.84	$4,786.30