Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.75 / $894.75 / $894.75	Facility		$894.75	$894.75	$894.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.32 / $894.75 / $1,582.95	Professional		$885.32	$894.75	$1,582.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,220.67 / $1,807.78 / $1,807.78	Professional		$1,220.67	$1,807.78	$1,807.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.00 / $1,263.26 / $1,916.25	Professional		$1,002.00	$1,263.26	$1,916.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,145.21	Facility		$1,037.25	$1,037.25	$1,145.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $1,037.25	Professional		$757.19	$1,037.25	$1,037.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $894.75 / $1,357.20 / $2,925.14	Facility		$894.75	$1,357.20	$2,925.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,357.20 / $1,357.20 / $1,357.20	Professional		$1,357.20	$1,357.20	$1,357.20
United Facility/Professional Professional Modifier Low / Median / High Price $601.25 / $861.67 / $1,221.48	Professional		$601.25	$861.67	$1,221.48