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 $831.76 / $1,071.52 / $1,995.26	Professional		$831.76	$1,071.52	$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 / $1,174.90 / $3,388.44	Facility		$1,023.29	$1,174.90	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,187.76	Professional		$851.14	$851.14	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,348.96	Professional		$954.99	$1,202.26	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $3,388.44	Facility		$1,000.00	$1,548.82	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
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 $870.96 / $1,071.52 / $2,570.40	Facility		$870.96	$1,071.52	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,412.54	Professional		$776.25	$1,096.48	$1,412.54