Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,818.38	Professional		$1,445.44	$1,862.09	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $2,691.53	Professional		$2,511.89	$2,570.40	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $3,981.07	Professional		$1,949.84	$3,388.44	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $6,025.60	Facility		$1,513.56	$2,137.96	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $4,168.69	Professional		$1,548.82	$1,548.82	$4,168.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,344.23	Professional		$1,698.24	$2,089.30	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $5,888.44	Facility		$1,513.56	$2,630.27	$5,888.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,290.87	Professional		$30.20	$30.20	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $4,570.88	Facility		$1,819.70	$2,511.89	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,570.40	Professional		$1,318.26	$1,698.24	$2,570.40