Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,995.26	Professional		$1,023.29	$1,318.26	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $3,162.28	Professional		$1,548.82	$2,691.53	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $3,981.07	Facility		$1,174.90	$1,737.80	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $3,162.28	Professional		$1,288.25	$1,288.25	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,548.82	Professional		$1,318.26	$1,412.54	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $3,715.35	Facility		$1,202.26	$1,905.46	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $741.31	Professional		$724.44	$724.44	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,819.70	Professional		$30.20	$30.20	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,698.24 / $3,090.30	Facility		$977.24	$1,698.24	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,737.80	Professional		$933.25	$1,318.26	$1,737.80