Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $5,011.87	Professional		$2,630.27	$3,630.78	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,165.95 / $7,244.36	Professional		$3,548.13	$6,165.95	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,677.35 / $11,748.98	Facility		$2,754.23	$4,677.35	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $8,317.64	Professional		$3,467.37	$3,467.37	$8,317.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $4,073.80	Professional		$3,548.13	$3,715.35	$4,073.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $10,000.00	Facility		$2,754.23	$4,897.79	$10,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,995.26	Professional		$1,949.84	$1,949.84	$1,995.26
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 $4,073.80 / $4,570.88 / $8,317.64	Facility		$4,073.80	$4,570.88	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $4,570.88	Professional		$2,398.83	$3,090.30	$4,570.88