Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,041.74	Professional		$1,096.48	$1,445.44	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $3,019.95	Professional		$1,479.11	$2,570.40	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $4,365.16	Facility		$1,122.02	$1,513.56	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,388.44	Professional		$1,122.02	$1,122.02	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,949.84	Professional		$1,348.96	$1,737.80	$1,949.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $4,466.84	Facility		$1,122.02	$1,995.26	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Professional		$776.25	$776.25	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,698.24	Professional		$30.20	$30.20	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $3,311.31	Facility		$1,621.81	$1,819.70	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,819.70	Professional		$977.24	$1,258.93	$1,819.70