Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.95 / $1,476.95 / $1,476.95	Facility		$1,476.95	$1,476.95	$1,476.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.33 / $1,476.95 / $2,457.29	Professional		$1,375.33	$1,476.95	$2,457.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,609.49 / $2,311.06 / $3,301.52	Professional		$1,609.49	$2,311.06	$3,301.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,083.40 / $2,685.39 / $3,836.61	Professional		$2,083.40	$2,685.39	$3,836.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.92 / $1,721.98 / $1,901.21	Facility		$705.92	$1,721.98	$1,901.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,721.98 / $1,985.38	Professional		$1,257.05	$1,721.98	$1,985.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,453.41 / $2,365.00 / $5,185.03	Facility		$1,453.41	$2,365.00	$5,185.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,847.00 / $1,847.00 / $1,847.00	Professional		$1,847.00	$1,847.00	$1,847.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,230.94 / $2,230.94 / $2,230.94	Professional		$2,230.94	$2,230.94	$2,230.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,674.38 / $3,674.38 / $3,674.38	Facility		$3,674.38	$3,674.38	$3,674.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.04 / $1,632.40 / $2,071.46	Professional		$1,109.04	$1,632.40	$2,071.46