Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $3,388.44	Professional		$1,819.70	$2,187.76	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $5,248.07	Professional		$2,511.89	$4,466.84	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $7,079.46	Facility		$1,949.84	$2,754.23	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $5,128.61	Professional		$1,995.26	$1,995.26	$5,128.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $2,691.53	Professional		$2,290.87	$2,398.83	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $6,918.31	Facility		$1,949.84	$3,235.94	$6,918.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $5,370.32	Facility		$2,187.76	$2,951.21	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,019.95	Professional		$1,659.59	$2,187.76	$3,019.95