Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $467.74 / $7,762.47	Facility		$389.05	$467.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $1,096.48	Professional		$213.80	$275.42	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $616.60 / $1,000.00	Facility		$281.84	$616.60	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $426.58	Professional		$223.87	$323.59	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $954.99	Professional		$199.53	$346.74	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $489.78	Facility		$229.09	$302.00	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $588.84	Professional		$229.09	$354.81	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $489.78	Professional		$239.88	$338.84	$489.78