Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.04 / $969.04 / $969.04	Facility		$969.04	$969.04	$969.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.78 / $969.04 / $1,714.38	Professional		$929.78	$969.04	$1,714.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,762.08 / $1,762.08 / $1,762.08	Professional		$1,762.08	$1,762.08	$1,762.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.00 / $1,428.42 / $2,075.34	Professional		$1,133.00	$1,428.42	$2,075.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $1,184.20 / $1,307.45	Facility		$872.00	$1,184.20	$1,307.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $1,177.38 / $1,184.20	Professional		$864.47	$1,177.38	$1,184.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $871.24 / $1,403.00 / $3,074.82	Facility		$871.24	$1,403.00	$3,074.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $1,101.00 / $1,183.00	Professional		$1,101.00	$1,101.00	$1,183.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,322.99 / $1,322.99 / $1,322.99	Professional		$1,322.99	$1,322.99	$1,322.99
United Facility/Professional Professional Modifier Low / Median / High Price $651.16 / $946.28 / $1,177.38	Professional		$651.16	$946.28	$1,177.38