Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,923.60 / $2,923.60 / $2,923.60	Facility		$2,923.60	$2,923.60	$2,923.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $2,784.38 / $2,923.60	Professional		$96.01	$2,784.38	$2,923.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.49 / $191.49 / $191.49	Facility		$191.49	$191.49	$191.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.98 / $3,341.25 / $4,586.57	Professional		$178.98	$3,341.25	$4,586.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,626.77 / $2,784.38 / $2,784.38	Facility		$2,626.77	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $244.86 / $3,508.32	Facility		$142.46	$244.86	$3,508.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $228.00	Professional		$228.00	$228.00	$228.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $120.45 / $2,923.59	Professional		$97.28	$120.45	$2,923.59
United Facility/Professional Professional Modifier Low / Median / High Price $2,505.94 / $2,784.38 / $3,062.82	Professional		$2,505.94	$2,784.38	$3,062.82