Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,570.40	Professional		$1,412.54	$1,862.09	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $4,168.69	Professional		$2,041.74	$3,548.13	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $5,495.41	Facility		$1,548.82	$2,570.40	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,570.88	Professional		$1,862.09	$1,862.09	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,041.74	Professional		$1,698.24	$1,862.09	$2,041.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $5,370.32	Facility		$1,548.82	$2,511.89	$5,370.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
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 $1,288.25 / $2,290.87 / $4,168.69	Facility		$1,288.25	$2,290.87	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,344.23	Professional		$1,288.25	$1,737.80	$2,344.23