Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,949.84	Professional		$1,096.48	$1,445.44	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $3,090.30	Professional		$1,513.56	$2,630.27	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $4,265.80	Facility		$1,148.15	$1,479.11	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $3,548.13	Professional		$1,096.48	$1,096.48	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,584.89	Professional		$1,380.38	$1,445.44	$1,584.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $4,168.69	Facility		$1,174.90	$1,949.84	$4,168.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $776.25	Professional		$758.58	$758.58	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,778.28	Professional		$30.20	$30.20	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $3,235.94	Facility		$1,412.54	$1,778.28	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,819.70	Professional		$1,000.00	$1,288.25	$1,819.70