Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,511.89	Professional		$1,348.96	$1,819.70	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $3,715.35	Professional		$1,819.70	$3,162.28	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $5,623.41	Facility		$1,380.38	$2,454.71	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $4,265.80	Professional		$1,819.70	$1,819.70	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,089.30	Professional		$1,584.89	$1,862.09	$2,089.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,398.83 / $5,011.87	Facility		$1,380.38	$2,398.83	$5,011.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,023.29	Professional		$1,000.00	$1,000.00	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,089.30	Professional		$30.20	$30.20	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $4,265.80	Facility		$2,041.74	$2,344.23	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,344.23	Professional		$1,202.26	$1,548.82	$2,344.23