Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,017.60 / $3,017.60 / $3,017.60	Facility		$3,017.60	$3,017.60	$3,017.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $3,017.60 / $3,054.40	Professional		$530.00	$3,017.60	$3,054.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.12 / $592.25 / $718.75	Professional		$516.12	$592.25	$718.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,667.50 / $4,224.64	Facility		$530.00	$1,667.50	$4,224.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Professional		$530.00	$530.00	$530.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $3,000.00 / $3,168.48	Professional		$55.00	$3,000.00	$3,168.48
United Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $3,200.00 / $3,520.00	Professional		$2,944.00	$3,200.00	$3,520.00