Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,630.78 / $4,365.16	Facility		$794.33	$3,630.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $2,290.87	Professional		$758.58	$794.33	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $776.25	Professional		$758.58	$758.58	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,380.38 / $2,754.23	Facility		$776.25	$1,380.38	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,202.26	Professional		$758.58	$1,047.13	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $758.58 / $758.58	Facility		$724.44	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $2,344.23	Facility		$794.33	$1,071.52	$2,344.23
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 $758.58 / $794.33 / $1,659.59	Facility		$758.58	$794.33	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $831.76	Professional		$758.58	$758.58	$831.76