Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,165.95 / $7,943.28	Professional		$4,466.84	$6,165.95	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $12,589.25	Professional		$6,025.60	$10,471.29	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,128.31 / $18,620.87	Facility		$4,677.35	$8,128.31	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $14,454.40	Professional		$5,888.44	$5,888.44	$14,454.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,918.31 / $7,585.78	Professional		$5,888.44	$6,918.31	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,943.28 / $16,982.44	Facility		$4,677.35	$7,943.28	$16,982.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,467.37	Professional		$3,388.44	$3,388.44	$3,467.37
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 $4,466.84 / $7,943.28 / $14,454.40	Facility		$4,466.84	$7,943.28	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,248.07 / $7,943.28	Professional		$4,073.80	$5,248.07	$7,943.28