Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,187.76	Professional		$1,230.27	$1,621.81	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $3,388.44	Professional		$1,659.59	$2,884.03	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $4,897.79	Facility		$1,288.25	$2,089.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,801.89	Professional		$1,513.56	$1,513.56	$3,801.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $1,819.70	Professional		$1,659.59	$1,737.80	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $4,570.88	Facility		$1,288.25	$2,137.96	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,949.84	Professional		$30.20	$30.20	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,715.35	Facility		$1,479.11	$2,041.74	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,089.30	Professional		$1,122.02	$1,445.44	$2,089.30