Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.15 / $1,299.15 / $1,299.15	Facility		$1,299.15	$1,299.15	$1,299.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.90 / $1,237.28 / $1,299.15	Professional		$402.90	$1,237.28	$1,299.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,680.00 / $1,938.63	Professional		$1,237.28	$1,680.00	$1,938.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.25 / $1,237.28 / $1,237.28	Facility		$1,167.25	$1,237.28	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,596.00 / $2,208.56	Facility		$1,237.28	$1,596.00	$2,208.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,596.00 / $1,596.00 / $1,596.00	Professional		$1,596.00	$1,596.00	$1,596.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,055.97 / $1,274.39	Professional		$30.00	$1,055.97	$1,274.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.97 / $1,237.28 / $1,361.01	Professional		$1,055.97	$1,237.28	$1,361.01