Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,884.03	Professional		$1,621.81	$1,905.46	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $2,691.53 / $4,365.16	Professional		$239.88	$2,691.53	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,398.83 / $6,025.60	Facility		$181.97	$2,398.83	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,466.84	Professional		$1,737.80	$1,737.80	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,454.71 / $5,623.41	Facility		$407.38	$2,454.71	$5,623.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,511.89	Professional		$1,122.02	$1,122.02	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,570.40 / $4,677.35	Facility		$218.78	$2,570.40	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,630.27	Professional		$1,412.54	$1,905.46	$2,630.27