Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,995.26	Professional		$1,000.00	$1,258.93	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $2,691.53	Professional		$1,318.26	$2,290.87	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $4,168.69	Facility		$1,023.29	$1,513.56	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,818.38	Professional		$1,096.48	$1,096.48	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,548.82	Professional		$1,258.93	$1,380.38	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $3,715.35	Facility		$1,122.02	$1,862.09	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $741.31	Professional		$724.44	$724.44	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,548.82	Professional		$30.20	$30.20	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $3,090.30	Facility		$1,122.02	$1,479.11	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,513.56	Professional		$870.96	$1,148.15	$1,513.56