Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,715.35	Professional		$1,995.26	$2,691.53	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,677.35 / $5,495.41	Professional		$2,691.53	$4,677.35	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $8,128.31	Facility		$2,089.30	$3,548.13	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $6,309.57	Professional		$2,570.40	$2,570.40	$6,309.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $3,090.30	Professional		$2,290.87	$2,754.23	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $7,585.78	Facility		$2,089.30	$3,548.13	$7,585.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $3,162.28	Professional		$30.20	$30.20	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,467.37 / $6,165.95	Facility		$3,019.95	$3,467.37	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,467.37	Professional		$1,819.70	$2,344.23	$3,467.37