Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.30 / $7,838.38 / $8,763.29	Facility		$350.30	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.30 / $517.61 / $722.30	Professional		$350.30	$517.61	$722.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $668.81 / $668.81 / $668.81	Professional		$668.81	$668.81	$668.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,364.73 / $8,188.45 / $12,706.51	Facility		$2,364.73	$8,188.45	$12,706.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.73 / $497.26 / $671.30	Professional		$416.73	$497.26	$671.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.05 / $731.43 / $1,077.01	Professional		$480.05	$731.43	$1,077.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $535.16	Professional		$32.34	$32.34	$535.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.32 / $670.23 / $953.92	Facility		$328.32	$670.23	$953.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.71 / $738.52 / $1,060.51	Professional		$478.71	$738.52	$1,060.51
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.15 / $724.05 / $1,106.39	Professional		$453.15	$724.05	$1,106.39