Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,876.75 / $3,876.75 / $3,876.75	Facility		$3,876.75	$3,876.75	$3,876.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $3,692.14 / $3,876.75	Professional		$459.00	$3,692.14	$3,876.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,420.00 / $3,692.14 / $4,615.18	Professional		$3,420.00	$3,692.14	$4,615.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,483.15 / $3,692.14 / $3,692.14	Facility		$3,483.15	$3,692.14	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $3,802.91 / $6,590.48	Facility		$513.00	$3,802.91	$6,590.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $513.00 / $513.00	Professional		$513.00	$513.00	$513.00
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 $3,322.93 / $3,692.14 / $4,061.35	Professional		$3,322.93	$3,692.14	$4,061.35