Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.61 / $1,209.61 / $1,209.61	Facility		$1,209.61	$1,209.61	$1,209.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.61 / $1,209.61 / $2,012.52	Professional		$1,209.61	$1,209.61	$2,012.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,550.00 / $1,954.14 / $2,868.62	Professional		$1,550.00	$1,954.14	$2,868.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,340.10	Facility		$2,119.51	$2,119.51	$2,340.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,626.03 / $2,119.51	Professional		$1,547.24	$1,626.03	$2,119.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,203.24 / $1,978.61 / $4,246.54	Facility		$1,203.24	$1,978.61	$4,246.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,978.61 / $1,978.61 / $1,978.61	Professional		$1,978.61	$1,978.61	$1,978.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,827.14 / $1,827.14 / $1,827.14	Professional		$1,827.14	$1,827.14	$1,827.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.82 / $1,336.94 / $1,887.26	Professional		$1,043.82	$1,336.94	$1,887.26