Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,454.71	Professional		$1,288.25	$1,584.89	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $2,754.23	Professional		$2,089.30	$2,454.71	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,235.94 / $3,981.07	Professional		$2,187.76	$3,235.94	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,737.80 / $5,011.87	Facility		$707.95	$1,737.80	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,715.35	Professional		$1,258.93	$1,258.93	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,862.09	Professional		$1,659.59	$1,659.59	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $5,248.07	Facility		$1,479.11	$2,454.71	$5,248.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,238.72	Professional		$30.20	$30.20	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2,089.30 / $3,715.35	Facility		$2.19	$2,089.30	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,137.96	Professional		$1,148.15	$1,621.81	$2,137.96