Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,103.12 / $2,103.12 / $2,103.12	Facility		$2,103.12	$2,103.12	$2,103.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,103.12 / $2,103.12 / $3,499.10	Professional		$2,103.12	$2,103.12	$3,499.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,720.00 / $3,347.50 / $4,983.34	Professional		$2,720.00	$3,347.50	$4,983.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,093.80 / $3,798.08 / $4,193.38	Facility		$2,093.80	$3,798.08	$4,193.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $2,827.13 / $3,798.08	Professional		$2,772.60	$2,827.13	$3,798.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,092.04 / $3,368.00 / $7,383.30	Facility		$2,092.04	$3,368.00	$7,383.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,643.00 / $2,643.00 / $2,841.00	Professional		$2,643.00	$2,643.00	$2,841.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,176.79 / $3,176.79 / $3,176.79	Professional		$3,176.79	$3,176.79	$3,176.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,579.24 / $2,345.41 / $3,533.81	Professional		$1,579.24	$2,345.41	$3,533.81