Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.24 / $1,289.24 / $1,289.24	Facility		$1,289.24	$1,289.24	$1,289.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.72 / $1,289.24 / $2,144.98	Professional		$1,277.72	$1,289.24	$2,144.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,881.93 / $2,881.93 / $2,881.93	Professional		$2,881.93	$2,881.93	$2,881.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,670.00 / $2,105.42 / $3,054.85	Professional		$1,670.00	$2,105.42	$3,054.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,283.50 / $2,084.13 / $2,301.06	Facility		$1,283.50	$2,084.13	$2,301.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,733.09 / $2,084.13	Professional		$1,521.41	$1,733.09	$2,084.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,282.45 / $2,065.00 / $4,526.05	Facility		$1,282.45	$2,065.00	$4,526.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,741.00	Professional		$1,620.00	$1,620.00	$1,741.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,947.41 / $1,947.41 / $1,947.41	Professional		$1,947.41	$1,947.41	$1,947.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,037.61 / $2,070.48 / $2,117.59	Facility		$1,037.61	$2,070.48	$2,117.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.22 / $1,424.94 / $2,070.48	Professional		$1,097.22	$1,424.94	$2,070.48