Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.36 / $2,290.36 / $2,290.36	Facility		$2,290.36	$2,290.36	$2,290.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,162.89 / $2,290.36 / $3,810.62	Professional		$2,162.89	$2,290.36	$3,810.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,119.81 / $5,119.81 / $6,161.18	Professional		$5,119.81	$5,119.81	$6,161.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.59 / $3,294.10 / $3,636.94	Facility		$1,094.59	$3,294.10	$3,636.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $3,078.82 / $3,294.10	Professional		$2,404.69	$3,078.82	$3,294.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,278.29 / $3,591.96 / $8,040.63	Facility		$2,278.29	$3,591.96	$8,040.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,079.00 / $3,079.00 / $3,079.00	Professional		$3,079.00	$3,079.00	$3,079.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,459.62 / $3,459.62 / $3,459.62	Professional		$3,459.62	$3,459.62	$3,459.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,702.81 / $2,531.44 / $3,419.35	Professional		$1,702.81	$2,531.44	$3,419.35