Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,235.94	Professional		$1,778.28	$2,290.87	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,168.69 / $4,897.79	Professional		$2,398.83	$4,168.69	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $7,244.36	Facility		$1,819.70	$2,570.40	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $5,370.32	Professional		$1,862.09	$1,862.09	$5,370.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $2,884.03	Professional		$2,089.30	$2,570.40	$2,884.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $6,760.83	Facility		$1,862.09	$3,235.94	$6,760.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,818.38	Professional		$30.20	$30.20	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $5,495.41	Facility		$2,691.53	$3,090.30	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,090.30	Professional		$1,621.81	$2,041.74	$3,090.30