Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.28 / $7,838.38 / $8,644.27	Facility		$636.28	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.59 / $636.28 / $2,258.00	Professional		$559.59	$636.28	$2,258.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.58 / $303.58 / $303.58	Professional		$303.58	$303.58	$303.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.88 / $760.58 / $1,155.54	Professional		$568.88	$760.58	$1,155.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.79 / $886.21 / $1,129.74	Professional		$590.79	$886.21	$1,129.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $983.74	Professional		$32.34	$32.34	$983.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.82 / $748.07 / $923.96	Facility		$576.82	$748.07	$923.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $624.89 / $923.72 / $1,543.80	Professional		$624.89	$923.72	$1,543.80
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.71 / $904.04 / $1,381.49	Professional		$654.71	$904.04	$1,381.49