Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,137.96	Professional		$1,047.13	$1,318.26	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $2,884.03	Professional		$1,412.54	$2,454.71	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $4,265.80	Facility		$1,096.48	$1,621.81	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,951.21	Professional		$1,202.26	$1,202.26	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,778.28	Professional		$1,318.26	$1,584.89	$1,778.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $4,073.80	Facility		$1,202.26	$1,995.26	$4,073.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,659.59	Professional		$30.20	$30.20	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $3,311.31	Facility		$1,202.26	$1,479.11	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,621.81	Professional		$933.25	$1,202.26	$1,621.81