Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,454.71 / $3,715.35	Facility		$812.83	$2,454.71	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $1,071.52	Professional		$724.44	$776.25	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $1,318.26	Facility		$346.74	$691.83	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,000.00	Professional		$741.31	$831.76	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $776.25 / $1,148.15	Facility		$741.31	$776.25	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Professional		$776.25	$776.25	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $588.84 / $1,122.02	Professional		$194.98	$588.84	$1,122.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $776.25 / $1,348.96	Facility		$309.03	$776.25	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $1,819.70 / $1,949.84	Professional		$30.20	$1,819.70	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $776.25 / $1,659.59	Facility		$707.95	$776.25	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $870.96	Professional		$660.69	$831.76	$870.96