Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,722.98 / $1,722.98 / $1,722.98	Facility		$1,722.98	$1,722.98	$1,722.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.25 / $1,640.93 / $1,722.98	Professional		$837.25	$1,640.93	$1,722.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.13 / $1,478.56 / $2,051.16	Professional		$1,232.13	$1,478.56	$2,051.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.05 / $1,640.93 / $1,640.93	Facility		$1,548.05	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $935.75 / $1,722.98 / $2,929.07	Facility		$935.75	$1,722.98	$2,929.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $935.75 / $935.75 / $935.75	Professional		$935.75	$935.75	$935.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,476.84 / $1,640.93 / $1,805.02	Professional		$1,476.84	$1,640.93	$1,805.02