Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,905.46	Professional		$1,023.29	$1,348.96	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $2,884.03	Professional		$1,412.54	$2,454.71	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $4,365.16	Facility		$1,071.52	$1,778.28	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $3,162.28	Professional		$1,288.25	$1,288.25	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,621.81	Professional		$1,445.44	$1,513.56	$1,621.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,890.45	Facility		$1,096.48	$1,862.09	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Professional		$776.25	$776.25	$794.33
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 $1,412.54 / $1,819.70 / $3,311.31	Facility		$1,412.54	$1,819.70	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,819.70	Professional		$954.99	$1,202.26	$1,819.70