Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.57 / $1,043.57 / $1,043.57	Facility		$1,043.57	$1,043.57	$1,043.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.57 / $1,043.57 / $1,736.25	Professional		$1,043.57	$1,043.57	$1,736.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,702.00 / $2,472.73	Professional		$1,350.00	$1,702.00	$2,472.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.90 / $1,823.10 / $2,012.85	Facility		$1,038.90	$1,823.10	$2,012.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,402.82 / $1,823.10	Professional		$1,330.86	$1,402.82	$1,823.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,038.07 / $1,671.00 / $3,663.61	Facility		$1,038.07	$1,671.00	$3,663.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,312.00 / $1,312.00 / $1,410.00	Professional		$1,312.00	$1,312.00	$1,410.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,576.32 / $1,576.32 / $1,576.32	Professional		$1,576.32	$1,576.32	$1,576.32
United Facility/Professional Professional Modifier Low / Median / High Price $783.62 / $1,163.79 / $1,753.48	Professional		$783.62	$1,163.79	$1,753.48