Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,570.40	Professional		$1,445.44	$1,905.46	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $4,073.80	Professional		$1,995.26	$3,467.37	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $5,754.40	Facility		$1,513.56	$2,570.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,466.84	Professional		$1,862.09	$1,862.09	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $2,137.96	Professional		$1,949.84	$1,995.26	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $5,623.41	Facility		$1,548.82	$2,630.27	$5,623.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
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 $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,398.83	Professional		$1,348.96	$1,698.24	$2,398.83