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 $912.01 / $1,202.26 / $1,995.26	Professional		$912.01	$1,202.26	$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 / $1,548.82 / $3,715.35	Facility		$1,023.29	$1,548.82	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,754.23	Professional		$1,122.02	$1,122.02	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,348.96	Professional		$1,202.26	$1,258.93	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $3,630.78	Facility		$1,071.52	$1,737.80	$3,630.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
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 $1,000.00 / $1,318.26 / $2,754.23	Facility		$1,000.00	$1,318.26	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,445.44	Professional		$831.76	$1,122.02	$1,445.44