Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,000.00	Professional		$512.86	$794.33	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $173.78	Professional		$120.23	$120.23	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,388.44 / $3,801.89	Professional		$1,258.93	$3,388.44	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,000.00 / $1,412.54	Facility		$141.25	$1,000.00	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $4,265.80	Professional		$758.58	$758.58	$4,265.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $851.14 / $1,737.80	Facility		$173.78	$851.14	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $891.25	Professional		$89.13	$89.13	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $81.28	Professional		$30.20	$30.20	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $3,162.28	Facility		$74.13	$93.33	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $131.83 / $794.33	Professional		$51.29	$131.83	$794.33