Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $8,912.51	Professional		$4,786.30	$6,606.93	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $13,182.57	Professional		$6,456.54	$11,220.18	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,709.64 / $19,952.62	Facility		$4,897.79	$8,709.64	$19,952.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $15,135.61	Professional		$6,309.57	$6,309.57	$15,135.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,244.36 / $7,943.28	Professional		$7,079.46	$7,244.36	$7,943.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,709.64 / $17,378.01	Facility		$5,011.87	$8,709.64	$17,378.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,630.78	Professional		$3,548.13	$3,548.13	$3,630.78
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 / $8,317.64 / $15,135.61	Facility		$4,466.84	$8,317.64	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $8,317.64	Professional		$4,365.16	$5,495.41	$8,317.64