Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,715.35	Professional		$1,905.46	$2,344.23	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $5,248.07	Professional		$2,570.40	$4,466.84	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $7,943.28	Facility		$1,995.26	$2,754.23	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $5,370.32	Professional		$2,041.74	$2,041.74	$5,370.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $2,951.21	Professional		$2,344.23	$2,691.53	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $7,244.36	Facility		$1,995.26	$3,388.44	$7,244.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $3,019.95	Professional		$30.20	$30.20	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $6,025.60	Facility		$2,454.71	$3,311.31	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,311.31	Professional		$1,737.80	$2,238.72	$3,311.31