Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,089.30	Professional		$1,202.26	$1,698.24	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $3,311.31	Professional		$1,621.81	$2,884.03	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $5,011.87	Facility		$1,258.93	$1,778.28	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $3,890.45	Professional		$1,288.25	$1,288.25	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,905.46	Professional		$1,698.24	$1,698.24	$1,905.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $4,570.88	Facility		$1,258.93	$2,187.76	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,905.46	Professional		$30.20	$30.20	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $3,890.45	Facility		$1,230.27	$2,137.96	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,137.96	Professional		$1,096.48	$1,412.54	$2,137.96