Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.70 / $2,434.25 / $3,678.66	Facility		$689.70	$2,434.25	$3,678.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.59 / $741.00 / $888.32	Professional		$561.59	$741.00	$888.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $734.16 / $734.16 / $734.16	Professional		$734.16	$734.16	$734.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.36 / $713.69 / $1,201.50	Facility		$372.36	$713.69	$1,201.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $795.88 / $955.06	Professional		$733.67	$795.88	$955.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $733.67 / $984.28	Facility		$692.14	$733.67	$984.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $761.35	Professional		$733.67	$733.67	$761.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.87 / $561.59 / $1,261.68	Facility		$203.87	$561.59	$1,261.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $492.00 / $950.53	Professional		$395.00	$492.00	$950.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $740.39 / $770.85 / $1,834.17	Professional		$740.39	$770.85	$1,834.17
United Facility/Professional Professional Modifier Low / Median / High Price $623.62 / $777.69 / $883.34	Professional		$623.62	$777.69	$883.34