Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,479.11	Facility		$1,096.48	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,096.48	Professional		$1,000.00	$1,047.13	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $1,096.48	Professional		$117.49	$165.96	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,047.13	Facility		$1,000.00	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,096.48 / $1,584.89	Facility		$275.42	$1,096.48	$1,584.89
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 Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional		$125.89	$302.00	$1,000.00