Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,016.55 / $2,016.55 / $2,016.55	Facility		$2,016.55	$2,016.55	$2,016.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,904.31 / $2,016.55 / $3,355.07	Professional		$1,904.31	$2,016.55	$3,355.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,197.52 / $2,197.52 / $2,197.52	Professional		$2,197.52	$2,197.52	$2,197.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,761.00 / $3,480.89 / $4,889.55	Professional		$2,761.00	$3,480.89	$4,889.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,007.60 / $2,502.67 / $2,763.15	Facility		$2,007.60	$2,502.67	$2,763.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $2,502.67 / $2,710.75	Professional		$1,826.95	$2,502.67	$2,710.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,005.92 / $3,229.00 / $7,079.39	Facility		$2,005.92	$3,229.00	$7,079.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,535.00 / $2,535.00 / $2,724.00	Professional		$2,535.00	$2,535.00	$2,724.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,046.02 / $3,046.02 / $3,046.02	Professional		$3,046.02	$3,046.02	$3,046.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.52 / $2,228.80 / $3,010.58	Professional		$1,564.52	$2,228.80	$3,010.58