Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,290.87	Professional		$1,174.90	$1,479.11	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,754.23 / $3,235.94	Professional		$1,584.89	$2,754.23	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $4,897.79	Facility		$1,230.27	$1,698.24	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,467.37	Professional		$1,258.93	$1,258.93	$3,467.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,862.09	Professional		$1,380.38	$1,698.24	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $4,466.84	Facility		$1,230.27	$2,137.96	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,862.09	Professional		$30.20	$30.20	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $3,715.35	Facility		$1,819.70	$2,041.74	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,041.74	Professional		$1,071.52	$1,380.38	$2,041.74