Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,951.21	Professional		$1,659.59	$1,949.84	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $5,495.41	Professional		$3,981.07	$4,265.80	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,511.89 / $6,309.57	Facility		$851.14	$2,511.89	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,570.88	Professional		$1,862.09	$1,862.09	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,570.40	Professional		$1,995.26	$2,290.87	$2,570.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $6,165.95	Facility		$1,778.28	$2,884.03	$6,165.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,148.15	Professional		$1,122.02	$1,122.02	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,691.53	Professional		$30.20	$30.20	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2,630.27 / $4,786.30	Facility		$2.82	$2,630.27	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,691.53	Professional		$1,445.44	$1,949.84	$2,691.53