Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,454.71	Professional		$1,288.25	$1,621.81	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $3,548.13	Professional		$1,737.80	$3,019.95	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $5,248.07	Facility		$1,348.96	$1,905.46	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $3,388.44	Professional		$1,380.38	$1,380.38	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,949.84	Professional		$1,479.11	$1,778.28	$1,949.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $5,128.61	Facility		$1,348.96	$2,238.72	$5,128.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,041.74	Professional		$30.20	$30.20	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,981.07	Facility		$1,778.28	$2,187.76	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,187.76	Professional		$1,174.90	$1,513.56	$2,187.76