Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.45 / $2,343.44 / $4,823.10	Facility		$1,101.45	$2,343.44	$4,823.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.69 / $580.37 / $649.08	Professional		$527.69	$580.37	$649.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $574.32 / $574.32 / $574.32	Professional		$574.32	$574.32	$574.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.02 / $588.83 / $940.62	Facility		$320.02	$588.83	$940.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.54 / $690.00 / $1,213.23	Professional		$617.54	$690.00	$1,213.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.96 / $469.96 / $469.96	Facility		$469.96	$469.96	$469.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.64 / $876.41 / $1,190.03	Professional		$618.64	$876.41	$1,190.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $570.36 / $650.88 / $975.02	Facility		$570.36	$650.88	$975.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $802.82	Professional		$30.00	$30.00	$802.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,237.39 / $2,582.52 / $3,403.69	Facility		$2,237.39	$2,582.52	$3,403.69
United Facility/Professional Professional Modifier Low / Median / High Price $326.27 / $450.00 / $879.39	Professional		$326.27	$450.00	$879.39