Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,089.30	Professional		$1,174.90	$1,380.38	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $3,311.31	Professional		$1,513.56	$2,818.38	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,365.16	Facility		$1,778.28	$1,778.28	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,235.94	Professional		$1,318.26	$1,318.26	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,819.70	Professional		$1,380.38	$1,380.38	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $4,365.16	Facility		$1,230.27	$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 / $1,862.09	Professional		$30.20	$30.20	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1,862.09 / $3,388.44	Facility		$1.95	$1,862.09	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,905.46	Professional		$1,023.29	$1,380.38	$1,905.46