Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,162.28	Professional		$1,778.28	$2,344.23	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $4,786.30	Professional		$1,698.24	$4,073.80	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,388.44 / $7,244.36	Facility		$1,288.25	$3,388.44	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $5,495.41	Professional		$2,454.71	$2,454.71	$5,495.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $2,951.21	Professional		$2,089.30	$2,630.27	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $6,760.83	Facility		$1,905.46	$3,311.31	$6,760.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,818.38	Professional		$30.20	$30.20	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $5,495.41	Facility		$2,398.83	$3,090.30	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $3,090.30	Professional		$1,659.59	$2,089.30	$3,090.30