Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,511.89	Professional		$1,071.52	$1,412.54	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $3,388.44	Professional		$1,659.59	$2,884.03	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $4,265.80	Facility		$1,258.93	$1,548.82	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,090.30	Professional		$1,122.02	$1,122.02	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,584.89	Professional		$1,258.93	$1,412.54	$1,584.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $4,466.84	Facility		$1,288.25	$1,905.46	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $758.58	Professional		$741.31	$741.31	$758.58
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 $1,174.90 / $1,548.82 / $3,235.94	Facility		$1,174.90	$1,548.82	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,778.28	Professional		$977.24	$1,380.38	$1,778.28