Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $3,558.10 / $5,306.67	Facility		$1,214.63	$3,558.10	$5,306.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,214.63 / $1,402.50	Professional		$920.00	$1,214.63	$1,402.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,166.05 / $1,166.05 / $1,166.05	Professional		$1,166.05	$1,166.05	$1,166.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.04 / $1,187.75 / $2,046.37	Facility		$653.04	$1,187.75	$2,046.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.65 / $1,457.56 / $1,749.07	Professional		$1,282.65	$1,457.56	$1,749.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,238.93 / $1,506.14	Facility		$1,214.63	$1,238.93	$1,506.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $673.23 / $673.23 / $1,300.88	Professional		$673.23	$673.23	$1,300.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,132.38 / $1,200.33 / $1,534.72	Professional		$1,132.38	$1,200.33	$1,534.72
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,214.63	Professional		$485.85	$1,214.63	$1,214.63