Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.97 / $1,019.97 / $1,019.97	Facility		$1,019.97	$1,019.97	$1,019.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.97 / $1,019.97 / $1,696.98	Professional		$1,019.97	$1,019.97	$1,696.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $1,624.52 / $2,416.80	Professional		$1,320.00	$1,624.52	$2,416.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,015.40 / $1,424.68 / $1,572.95	Facility		$1,015.40	$1,424.68	$1,572.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $1,899.48	Professional		$1,040.02	$1,040.02	$1,899.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,014.59 / $1,634.00 / $3,580.73	Facility		$1,014.59	$1,634.00	$3,580.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,282.00 / $1,282.00 / $1,378.00	Professional		$1,282.00	$1,282.00	$1,378.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,540.67 / $1,540.67 / $1,540.67	Professional		$1,540.67	$1,540.67	$1,540.67
United Facility/Professional Professional Modifier Low / Median / High Price $868.06 / $1,137.47 / $1,713.81	Professional		$868.06	$1,137.47	$1,713.81