Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.10 / $1,231.10 / $1,231.10	Facility		$1,231.10	$1,231.10	$1,231.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,119.06 / $1,231.10 / $2,178.03	Professional		$1,119.06	$1,231.10	$2,178.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.00 / $1,405.72 / $2,586.88	Professional		$1,115.00	$1,405.72	$2,586.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $1,786.55	Facility		$1,618.14	$1,618.14	$1,786.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,495.78 / $1,618.14	Professional		$1,181.24	$1,495.78	$1,618.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,106.86 / $1,820.12 / $3,906.41	Facility		$1,106.86	$1,820.12	$3,906.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,820.12 / $1,820.12 / $1,820.12	Professional		$1,820.12	$1,820.12	$1,820.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,680.79 / $1,680.79 / $1,680.79	Professional		$1,680.79	$1,680.79	$1,680.79
United Facility/Professional Professional Modifier Low / Median / High Price $827.28 / $1,185.58 / $1,495.78	Professional		$827.28	$1,185.58	$1,495.78