Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.57 / $1,421.57 / $1,421.57	Facility		$1,421.57	$1,421.57	$1,421.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,421.57 / $1,421.57 / $2,365.16	Professional		$1,421.57	$1,421.57	$2,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,840.00 / $2,264.48 / $3,368.40	Professional		$1,840.00	$2,264.48	$3,368.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,415.20 / $2,476.09 / $2,733.80	Facility		$1,415.20	$2,476.09	$2,733.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $1,910.95 / $2,476.09	Professional		$1,807.55	$1,910.95	$2,476.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,414.08 / $2,277.00 / $4,990.62	Facility		$1,414.08	$2,277.00	$4,990.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,787.00 / $1,787.00 / $1,920.00	Professional		$1,787.00	$1,787.00	$1,920.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,147.30 / $2,147.30 / $2,147.30	Professional		$2,147.30	$2,147.30	$2,147.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,209.84 / $1,585.34 / $2,388.62	Professional		$1,209.84	$1,585.34	$2,388.62