Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.11 / $6,159.80 / $10,865.72	Facility		$842.11	$6,159.80	$10,865.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.25 / $544.10 / $1,085.45	Professional		$384.25	$544.10	$1,085.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $397.40 / $404.47	Professional		$198.70	$397.40	$404.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,735.38 / $9,196.00 / $14,698.14	Facility		$2,735.38	$9,196.00	$14,698.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.94 / $566.90 / $883.88	Professional		$269.94	$566.90	$883.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.50 / $698.98 / $1,059.61	Professional		$424.50	$698.98	$1,059.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $101.80 / $848.34	Professional		$32.34	$101.80	$848.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.51 / $509.91 / $834.26	Facility		$218.51	$509.91	$834.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.12 / $736.00 / $1,178.53	Professional		$474.12	$736.00	$1,178.53
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 $633.25 / $896.49 / $1,325.70	Professional		$633.25	$896.49	$1,325.70