Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,041.74	Professional		$933.25	$1,202.26	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $2,754.23	Professional		$1,479.11	$2,238.72	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,288.25 / $3,715.35	Facility		$501.19	$1,288.25	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $2,691.53	Professional		$954.99	$954.99	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,513.56	Professional		$1,174.90	$1,380.38	$1,513.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $3,715.35	Facility		$1,096.48	$1,698.24	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $676.08	Professional		$660.69	$660.69	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,584.89	Professional		$30.20	$30.20	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1,202.26 / $2,818.38	Facility		$1.66	$1,202.26	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,479.11	Professional		$870.96	$1,148.15	$1,479.11