Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $9,120.11 / $16,595.87	Facility		$1,905.46	$9,120.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,905.46 / $2,290.87	Professional		$691.83	$1,905.46	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,079.46 / $12,589.25	Facility		$3,890.45	$7,079.46	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,951.21	Facility		$2,344.23	$2,344.23	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $3,235.94	Facility		$1,071.52	$2,238.72	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $13,182.57 / $23,988.33	Facility		$2,344.23	$13,182.57	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,737.80 / $3,235.94	Professional		$707.95	$1,737.80	$3,235.94