Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.80 / $644.80 / $644.80	Facility		$644.80	$644.80	$644.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.26 / $644.80 / $1,072.81	Professional		$627.26	$644.80	$1,072.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $702.68 / $702.68 / $702.68	Professional		$702.68	$702.68	$702.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.00 / $1,052.71 / $1,527.87	Professional		$835.00	$1,052.71	$1,527.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.96 / $1,200.11 / $1,325.02	Facility		$641.96	$1,200.11	$1,325.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $876.09 / $1,200.11	Professional		$876.09	$876.09	$1,200.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $641.41 / $1,033.00 / $2,211.73	Facility		$641.41	$1,033.00	$2,211.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $810.00 / $871.00	Professional		$810.00	$810.00	$871.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $973.99 / $973.99 / $973.99	Professional		$973.99	$973.99	$973.99
United Facility/Professional Professional Modifier Low / Median / High Price $484.19 / $719.09 / $1,083.46	Professional		$484.19	$719.09	$1,083.46