Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.41 / $1,538.41 / $1,538.41	Facility		$1,538.41	$1,538.41	$1,538.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,457.05 / $1,538.41 / $2,559.55	Professional		$1,457.05	$1,538.41	$2,559.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,676.47 / $3,438.92 / $3,438.92	Professional		$1,676.47	$3,438.92	$3,438.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,990.00 / $2,508.87 / $3,645.26	Professional		$1,990.00	$2,508.87	$3,645.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,531.60 / $2,400.00 / $2,649.80	Facility		$1,531.60	$2,400.00	$2,649.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $2,068.01 / $2,400.00	Professional		$1,752.00	$2,068.01	$2,400.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,530.30 / $2,464.00 / $5,400.81	Facility		$1,530.30	$2,464.00	$5,400.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,934.00 / $1,934.00 / $2,078.00	Professional		$1,934.00	$1,934.00	$2,078.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,323.78 / $2,323.78 / $2,323.78	Professional		$2,323.78	$2,323.78	$2,323.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,309.29 / $1,715.64 / $2,470.67	Professional		$1,309.29	$1,715.64	$2,470.67