Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,754.23	Professional		$1,445.44	$1,862.09	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $3,981.07	Professional		$1,949.84	$3,388.44	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $5,754.40	Facility		$1,513.56	$2,398.83	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,265.80	Professional		$1,737.80	$1,737.80	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $2,344.23	Professional		$2,089.30	$2,238.72	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $5,495.41	Facility		$1,513.56	$2,570.40	$5,495.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
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 $1,445.44 / $2,511.89 / $4,570.88	Facility		$1,445.44	$2,511.89	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,570.40	Professional		$1,318.26	$1,698.24	$2,570.40