Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,630.27	Professional		$1,288.25	$1,659.59	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $3,548.13	Professional		$1,737.80	$3,019.95	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $5,128.61	Facility		$1,348.96	$1,819.70	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,715.35	Professional		$1,318.26	$1,318.26	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $1,949.84	Professional		$1,548.82	$1,778.28	$1,949.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $4,897.79	Facility		$1,479.11	$2,344.23	$4,897.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,041.74	Professional		$30.20	$30.20	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,981.07	Facility		$1,445.44	$1,819.70	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,949.84	Professional		$1,148.15	$1,479.11	$1,949.84