Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.82 / $1,498.82 / $1,498.82	Facility		$1,498.82	$1,498.82	$1,498.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $1,427.45 / $1,498.82	Professional		$27.26	$1,427.45	$1,498.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,740.00 / $2,088.00	Professional		$1,427.45	$1,740.00	$2,088.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,427.45 / $1,427.45	Facility		$1,346.65	$1,427.45	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $1,573.76 / $2,547.98	Facility		$1,218.00	$1,573.76	$2,547.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,218.00 / $1,218.00	Professional		$1,218.00	$1,218.00	$1,218.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,439.26 / $1,498.82 / $1,803.22	Professional		$1,439.26	$1,498.82	$1,803.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,288.69 / $2,288.69 / $2,288.69	Facility		$2,288.69	$2,288.69	$2,288.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.25 / $1,427.45 / $1,570.20	Professional		$1,313.25	$1,427.45	$1,570.20