Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,311.31	Professional		$1,659.59	$2,290.87	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,570.88 / $5,888.44	Professional		$4,265.80	$4,570.88	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $6,760.83	Facility		$3,311.31	$3,311.31	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $5,754.40	Professional		$2,398.83	$2,398.83	$5,754.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,630.27	Professional		$1,905.46	$1,905.46	$2,630.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $6,918.31	Facility		$1,905.46	$2,951.21	$6,918.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,258.93	Professional		$1,230.27	$1,230.27	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,884.03	Professional		$30.20	$30.20	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $2,884.03 / $5,248.07	Facility		$3.02	$2,884.03	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,951.21	Professional		$1,584.89	$2,089.30	$2,951.21