Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,952.25 / $3,952.25 / $15,978.90	Facility		$3,952.25	$3,952.25	$15,978.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $3,952.25 / $4,096.85	Professional		$3,855.86	$3,952.25	$4,096.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,485.04 / $8,990.85 / $15,598.04	Facility		$4,485.04	$8,990.85	$15,598.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,202.00 / $5,561.79 / $6,896.08	Professional		$5,202.00	$5,561.79	$6,896.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,229.05	Professional		$4,819.82	$4,819.82	$5,229.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,952.25 / $5,399.80 / $6,355.80	Facility		$3,952.25	$5,399.80	$6,355.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,940.00 / $5,940.00 / $5,940.00	Professional		$5,940.00	$5,940.00	$5,940.00
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 $4,831.39 / $6,025.04 / $6,623.85	Professional		$4,831.39	$6,025.04	$6,623.85