Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $6,309.57	Professional		$3,467.37	$4,786.30	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $8,128.31 / $9,549.93	Professional		$4,677.35	$8,128.31	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,309.57 / $14,454.40	Facility		$3,630.78	$6,309.57	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $10,964.78	Professional		$4,570.88	$4,570.88	$10,964.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,248.07 / $5,888.44	Professional		$4,677.35	$5,248.07	$5,888.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,456.54 / $13,182.57	Facility		$3,630.78	$6,456.54	$13,182.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,630.27	Professional		$2,570.40	$2,570.40	$2,630.27
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 $3,630.78 / $6,025.60 / $10,964.78	Facility		$3,630.78	$6,025.60	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $6,025.60	Professional		$3,162.28	$3,981.07	$6,025.60