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 $1,000.00 / $1,380.38 / $1,949.84	Professional		$1,000.00	$1,380.38	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $2,754.23	Professional		$1,348.96	$2,344.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $4,168.69	Facility		$1,023.29	$1,949.84	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $3,162.28	Professional		$1,445.44	$1,445.44	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,548.82	Professional		$1,380.38	$1,412.54	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,778.28 / $3,715.35	Facility		$1,023.29	$1,778.28	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $758.58	Professional		$741.31	$741.31	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $3,162.28	Facility		$1,096.48	$1,737.80	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,737.80	Professional		$912.01	$1,148.15	$1,737.80