Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.26 / $544.26 / $544.26	Facility		$544.26	$544.26	$544.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.26 / $544.26 / $1,015.24	Professional		$544.26	$544.26	$1,015.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $827.97 / $827.97 / $827.97	Professional		$827.97	$827.97	$827.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.00 / $1,273.80 / $1,612.83	Professional		$850.00	$1,273.80	$1,612.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $943.04	Facility		$854.15	$854.15	$943.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $854.15 / $854.15	Professional		$623.53	$854.15	$854.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $898.49 / $2,194.26	Facility		$288.18	$898.49	$2,194.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,290.74 / $1,290.74 / $1,290.74	Professional		$1,290.74	$1,290.74	$1,290.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,114.37 / $1,114.37 / $1,114.37	Professional		$1,114.37	$1,114.37	$1,114.37
United Facility/Professional Professional Modifier Low / Median / High Price $444.95 / $749.69 / $994.18	Professional		$444.95	$749.69	$994.18