Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,171.90 / $2,171.90 / $2,171.90	Facility		$2,171.90	$2,171.90	$2,171.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.29 / $2,068.46 / $2,171.90	Professional		$263.29	$2,068.46	$2,171.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.30 / $2,482.17 / $3,629.94	Professional		$450.30	$2,482.17	$3,629.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.39 / $2,068.46 / $2,068.46	Facility		$1,951.39	$2,068.46	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.60 / $2,171.90 / $3,324.00	Facility		$254.60	$2,171.90	$3,324.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.60 / $254.60 / $254.60	Professional		$254.60	$254.60	$254.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.28 / $2,068.46 / $2,725.68	Professional		$249.28	$2,068.46	$2,725.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.99 / $2,068.46 / $2,275.32	Professional		$1,902.99	$2,068.46	$2,275.32