Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,481.00 / $9,994.00 / $17,281.64	Facility		$2,481.00	$9,994.00	$17,281.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,444.22 / $4,261.89	Professional		$1,291.35	$1,444.22	$4,261.89
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $81.80 / $786.90 / $786.90	Professional	AS	$81.80	$786.90	$786.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,374.53 / $1,380.37 / $1,421.78	Professional		$1,374.53	$1,380.37	$1,421.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,634.42 / $92,227.89 / $143,115.62	Facility		$26,634.42	$92,227.89	$143,115.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,377.06 / $1,752.50 / $2,644.09	Professional		$1,377.06	$1,752.50	$2,644.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.64 / $2,135.71 / $2,778.29	Professional		$1,454.64	$2,135.71	$2,778.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,261.77	Professional		$32.34	$32.34	$2,261.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,387.59 / $1,928.63 / $3,825.00	Facility		$1,387.59	$1,928.63	$3,825.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,472.91 / $2,283.00 / $3,554.89	Professional		$1,472.91	$2,283.00	$3,554.89
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $382.52 / $468.50 / $710.64	Professional	AS	$382.52	$468.50	$710.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $21,608.00 / $23,542.00	Facility		$1,657.00	$21,608.00	$23,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.56 / $2,140.98 / $3,400.37	Professional		$1,616.56	$2,140.98	$3,400.37