Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,801.89 / $12,022.64	Facility		$2,951.21	$3,801.89	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,548.13	Professional		$2,818.38	$2,818.38	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $5,128.61	Facility		$1,479.11	$2,691.53	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,630.78	Professional		$2,818.38	$3,090.30	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $3,981.07	Facility		$2,630.27	$2,818.38	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,019.95	Professional		$2,818.38	$2,818.38	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $5,011.87	Facility		$2,818.38	$3,019.95	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $6,025.60	Facility		$2,630.27	$2,818.38	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $3,162.28	Professional		$2,398.83	$3,019.95	$3,162.28