Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,174.90	Professional		$660.69	$870.96	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $1,819.70	Professional		$891.25	$1,548.82	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $2,570.40	Facility		$676.08	$912.01	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,089.30	Professional		$660.69	$660.69	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $977.24	Professional		$870.96	$912.01	$977.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,511.89	Facility		$691.83	$1,174.90	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $478.63	Professional		$467.74	$467.74	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,047.13	Professional		$30.20	$30.20	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $1,995.26	Facility		$630.96	$1,096.48	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,096.48	Professional		$602.56	$758.58	$1,096.48