Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.61 / $1,264.61 / $1,264.61	Facility		$1,264.61	$1,264.61	$1,264.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.34 / $1,264.61 / $2,104.03	Professional		$1,215.34	$1,264.61	$2,104.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,770.00 / $2,683.58 / $3,401.89	Professional		$1,770.00	$2,683.58	$3,401.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $2,283.76 / $2,521.46	Facility		$60.81	$2,283.76	$2,521.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,699.96 / $2,283.76	Professional		$1,667.14	$1,699.96	$2,283.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,257.95 / $2,068.56 / $4,574.16	Facility		$1,257.95	$2,068.56	$4,574.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,068.56 / $2,068.56 / $2,068.56	Professional		$2,068.56	$2,068.56	$2,068.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,910.22 / $1,910.22 / $1,910.22	Professional		$1,910.22	$1,910.22	$1,910.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,046.70 / $1,397.72 / $2,014.15	Professional		$1,046.70	$1,397.72	$2,014.15