Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.24 / $1,766.24 / $1,766.24	Facility		$1,766.24	$1,766.24	$1,766.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.96 / $1,766.24 / $2,938.60	Professional		$1,667.96	$1,766.24	$2,938.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,948.20 / $3,948.20 / $4,751.26	Professional		$3,948.20	$3,948.20	$4,751.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $844.19 / $2,540.30 / $2,804.69	Facility		$844.19	$2,540.30	$2,804.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,374.27 / $2,540.30	Professional		$1,854.42	$2,374.27	$2,540.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,756.93 / $2,829.00 / $6,200.62	Facility		$1,756.93	$2,829.00	$6,200.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,209.00 / $2,209.00 / $2,209.00	Professional		$2,209.00	$2,209.00	$2,209.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,667.92 / $2,667.92 / $2,667.92	Professional		$2,667.92	$2,667.92	$2,667.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,370.33 / $1,952.14 / $2,636.90	Professional		$1,370.33	$1,952.14	$2,636.90