Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,137.96	Professional		$1,096.48	$1,445.44	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $3,388.44	Professional		$1,659.59	$2,884.03	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $4,365.16	Facility		$1,258.93	$1,949.84	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $3,548.13	Professional		$1,445.44	$1,445.44	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $1,778.28	Professional		$1,348.96	$1,621.81	$1,778.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $4,365.16	Facility		$1,288.25	$2,041.74	$4,365.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,905.46	Professional		$30.20	$30.20	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $3,311.31	Facility		$1,096.48	$1,819.70	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,905.46	Professional		$1,023.29	$1,412.54	$1,905.46