Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $6,165.95	Facility		$2,137.96	$2,818.38	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $6,165.95	Professional		$1,905.46	$2,344.23	$6,165.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,570.40	Professional		$2,089.30	$2,089.30	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,311.31	Professional		$1,862.09	$2,511.89	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $4,265.80	Professional		$2,187.76	$2,951.21	$4,265.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $5,495.41	Facility		$2,238.72	$2,754.23	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,760.83 / $9,120.11	Facility		$2,454.71	$6,760.83	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $4,073.80	Professional		$1,862.09	$2,454.71	$4,073.80