Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,011.87 / $8,912.51	Facility		$1,047.13	$5,011.87	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	50	$3,090.30	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $2,630.27	Professional		$524.81	$812.83	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $8,912.51 / $14,125.38	Facility		$2,511.89	$8,912.51	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $812.83 / $1,000.00	Professional		$323.59	$812.83	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $933.25 / $1,288.25	Professional		$501.19	$933.25	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,698.24	Facility		$575.44	$912.01	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $1,288.25	Professional		$501.19	$912.01	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $16,982.44	Facility		$645.65	$6,606.93	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,513.56	Professional		$660.69	$912.01	$1,513.56