Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $6,165.95	Professional		$3,548.13	$4,265.80	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $10,471.29	Professional		$5,011.87	$8,511.38	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $13,489.63	Facility		$4,786.30	$4,786.30	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $10,000.00	Professional		$4,073.80	$4,073.80	$10,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,165.95 / $13,182.57	Facility		$3,715.35	$6,165.95	$13,182.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,570.40	Professional		$2,454.71	$2,454.71	$2,570.40
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 $6.03 / $5,754.40 / $10,232.93	Facility		$6.03	$5,754.40	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $5,888.44	Professional		$3,162.28	$4,168.69	$5,888.44