Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,128.53 / $3,128.53 / $3,128.53	Facility		$3,128.53	$3,128.53	$3,128.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,422.50 / $2,979.56 / $3,128.53	Professional		$2,422.50	$2,979.56	$3,128.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,850.00 / $2,979.56 / $3,724.44	Professional		$2,850.00	$2,979.56	$3,724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,810.90 / $2,979.55 / $2,979.55	Facility		$2,810.90	$2,979.55	$2,979.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Professional		$2,979.55	$2,979.55	$2,979.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,312.50 / $3,128.53 / $5,214.22	Facility		$1,312.50	$3,128.53	$5,214.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,312.50 / $1,312.50 / $1,312.50	Professional		$1,312.50	$1,312.50	$1,312.50
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 $2,741.20 / $2,979.56 / $3,277.52	Professional		$2,741.20	$2,979.56	$3,277.52