Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.49 / $1,664.49 / $1,664.49	Facility		$1,664.49	$1,664.49	$1,664.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.60 / $1,664.49 / $2,769.32	Professional		$1,620.60	$1,664.49	$2,769.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,155.00 / $2,716.88 / $3,944.01	Professional		$2,155.00	$2,716.88	$3,944.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,657.10 / $2,717.61 / $3,000.46	Facility		$1,657.10	$2,717.61	$3,000.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $2,237.48 / $2,717.61	Professional		$1,983.86	$2,237.48	$2,717.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,655.71 / $2,666.00 / $5,843.43	Facility		$1,655.71	$2,666.00	$5,843.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,092.00 / $2,092.00 / $2,248.00	Professional		$2,092.00	$2,092.00	$2,248.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,514.22 / $2,514.22 / $2,514.22	Professional		$2,514.22	$2,514.22	$2,514.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,416.59 / $1,846.11 / $2,781.52	Professional		$1,416.59	$1,846.11	$2,781.52