Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $10,715.19	Facility		$2,691.53	$3,630.78	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $3,090.30	Professional		$2,511.89	$2,570.40	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,162.28 / $5,888.44	Facility		$933.25	$3,162.28	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $3,801.89	Professional		$2,630.27	$3,162.28	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $3,311.31	Facility		$2,398.83	$2,511.89	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,754.23	Professional		$2,511.89	$2,511.89	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $4,168.69	Professional		$1,949.84	$2,570.40	$4,168.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,265.80	Facility		$1,905.46	$2,630.27	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $6,309.57 / $6,456.54	Professional		$30.20	$6,309.57	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $5,495.41	Facility		$2,511.89	$2,691.53	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $2,951.21	Professional		$2,187.76	$2,691.53	$2,951.21