Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,698.24	Professional		$977.24	$1,380.38	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $2,691.53	Professional		$1,318.26	$2,290.87	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $4,168.69	Facility		$1,023.29	$1,412.54	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $3,090.30	Professional		$1,047.13	$1,047.13	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,513.56	Professional		$1,380.38	$1,380.38	$1,513.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $3,715.35	Facility		$1,023.29	$1,737.80	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,548.82	Professional		$30.20	$30.20	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $3,090.30	Facility		$1,348.96	$1,698.24	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,698.24	Professional		$891.25	$1,148.15	$1,698.24