Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,621.81	Professional		$812.83	$1,047.13	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $2,290.87	Professional		$1,122.02	$1,949.84	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $3,467.37	Facility		$870.96	$1,230.27	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $2,238.72	Professional		$891.25	$891.25	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,288.25	Professional		$977.24	$1,174.90	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,479.11 / $3,311.31	Facility		$870.96	$1,479.11	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $630.96	Professional		$616.60	$616.60	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,318.26	Professional		$30.20	$30.20	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,630.27	Facility		$1,071.52	$1,445.44	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,445.44	Professional		$758.58	$954.99	$1,445.44