Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $4,786.30	Facility		$1,258.93	$3,630.78	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,698.24	Professional		$1,258.93	$1,258.93	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,230.27	Professional		$933.25	$1,047.13	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,047.13 / $2,187.76	Facility		$295.12	$1,047.13	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $1,819.70	Professional		$1,513.56	$1,621.81	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,621.81	Facility		$1,202.26	$1,445.44	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $1,258.93 / $1,659.59	Professional		$30.20	$1,258.93	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,348.96	Professional		$1,202.26	$1,258.93	$1,348.96