Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.65 / $1,192.65 / $1,192.65	Facility		$1,192.65	$1,192.65	$1,192.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.58 / $1,192.65 / $1,984.29	Professional		$1,110.58	$1,192.65	$1,984.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,340.76 / $2,340.76 / $2,340.76	Professional		$2,340.76	$2,340.76	$2,340.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,545.00 / $1,947.84 / $2,825.98	Professional		$1,545.00	$1,947.84	$2,825.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,187.30 / $1,747.16 / $1,928.99	Facility		$1,187.30	$1,747.16	$1,928.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,603.21 / $1,747.16	Professional		$1,275.43	$1,603.21	$1,747.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,186.36 / $1,910.00 / $4,005.15	Facility		$1,186.36	$1,910.00	$4,005.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,499.00 / $1,499.00 / $1,611.00	Professional		$1,499.00	$1,499.00	$1,611.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,801.52 / $1,801.52 / $1,801.52	Professional		$1,801.52	$1,801.52	$1,801.52
United Facility/Professional Professional Modifier Low / Median / High Price $895.57 / $1,318.19 / $1,699.21	Professional		$895.57	$1,318.19	$1,699.21