Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $5,248.07	Facility		$1,288.25	$3,630.78	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,737.80	Professional		$1,000.00	$1,288.25	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,230.27	Professional		$549.54	$1,000.00	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,230.27 / $2,187.76	Facility		$524.81	$1,230.27	$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 $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,513.56	Facility		$1,230.27	$1,288.25	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,288.25	Professional		$1,230.27	$1,230.27	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $1,202.26 / $1,513.56	Professional		$30.20	$1,202.26	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $120.23 / $1,148.15	Facility		$12.02	$120.23	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,288.25 / $1,288.25	Professional		$512.86	$1,288.25	$1,288.25