Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.49 / $1,165.49 / $1,165.49	Facility		$1,165.49	$1,165.49	$1,165.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.30 / $1,165.49 / $1,939.10	Professional		$1,085.30	$1,165.49	$1,939.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,510.00 / $1,903.71 / $2,761.61	Professional		$1,510.00	$1,903.71	$2,761.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,160.30 / $1,486.28 / $1,640.98	Facility		$1,160.30	$1,486.28	$1,640.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,486.28 / $1,566.73	Professional		$1,084.98	$1,486.28	$1,566.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,159.34 / $1,867.00 / $4,091.60	Facility		$1,159.34	$1,867.00	$4,091.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,465.00 / $1,465.00 / $1,574.00	Professional		$1,465.00	$1,465.00	$1,574.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,760.49 / $1,760.49 / $1,760.49	Professional		$1,760.49	$1,760.49	$1,760.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $875.17 / $1,288.16 / $1,787.92	Professional		$875.17	$1,288.16	$1,787.92