Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,847.52 / $1,847.52 / $1,847.52	Facility		$1,847.52	$1,847.52	$1,847.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.59 / $1,847.52 / $3,073.84	Professional		$1,807.59	$1,847.52	$3,073.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,390.00 / $3,013.16 / $4,377.68	Professional		$2,390.00	$3,013.16	$4,377.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,839.30 / $2,550.04 / $2,815.44	Facility		$1,839.30	$2,550.04	$2,815.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,483.52 / $2,550.04	Professional		$1,861.53	$2,483.52	$2,550.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,837.78 / $2,959.00 / $6,485.99	Facility		$1,837.78	$2,959.00	$6,485.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,322.00 / $2,322.00 / $2,495.00	Professional		$2,322.00	$2,322.00	$2,495.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,790.70 / $2,790.70 / $2,790.70	Professional		$2,790.70	$2,790.70	$2,790.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,441.30 / $5,441.30 / $5,441.30	Facility		$5,441.30	$5,441.30	$5,441.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,572.36 / $2,041.98 / $3,067.56	Professional		$1,572.36	$2,041.98	$3,067.56