Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.08 / $1,096.08 / $1,096.08	Facility		$1,096.08	$1,096.08	$1,096.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.08 / $1,096.08 / $1,823.61	Professional		$1,096.08	$1,096.08	$1,823.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $1,747.59 / $2,597.15	Professional		$1,420.00	$1,747.59	$2,597.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.20 / $1,787.17 / $1,973.19	Facility		$1,091.20	$1,787.17	$1,973.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $2,033.58	Professional		$1,304.63	$1,304.63	$2,033.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,090.30 / $1,756.00 / $3,847.93	Facility		$1,090.30	$1,756.00	$3,847.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,378.00 / $1,378.00 / $1,480.00	Professional		$1,378.00	$1,378.00	$1,480.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,655.63 / $1,655.63 / $1,655.63	Professional		$1,655.63	$1,655.63	$1,655.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $932.83 / $1,222.33 / $1,841.70	Professional		$932.83	$1,222.33	$1,841.70