Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,137.96	Professional		$1,202.26	$1,412.54	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $3,388.44	Professional		$1,737.80	$2,884.03	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $4,570.88	Facility		$1,584.89	$1,584.89	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,311.31	Professional		$1,148.15	$1,148.15	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,089.30	Professional		$1,905.46	$1,905.46	$2,089.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $4,466.84	Facility		$1,288.25	$2,089.30	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $851.14	Professional		$831.76	$831.76	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,949.84	Professional		$30.20	$30.20	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $1,905.46 / $3,467.37	Facility		$2.04	$1,905.46	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,949.84	Professional		$1,047.13	$1,412.54	$1,949.84