Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.78 / $2,095.00 / $7,838.38	Facility		$612.78	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.24 / $612.78 / $2,284.00	Professional		$503.24	$612.78	$2,284.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $301.08 / $301.08	Professional		$301.08	$301.08	$301.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,855.07 / $9,886.35 / $15,341.24	Facility		$2,855.07	$9,886.35	$15,341.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.24 / $729.57 / $1,100.74	Professional		$547.24	$729.57	$1,100.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.65 / $863.47 / $1,095.75	Professional		$575.65	$863.47	$1,095.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $944.45	Professional		$32.34	$32.34	$944.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.41 / $764.14 / $1,139.00	Facility		$579.41	$764.14	$1,139.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $598.70 / $892.25 / $1,481.55	Professional		$598.70	$892.25	$1,481.55
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 $630.08 / $861.49 / $1,357.19	Professional		$630.08	$861.49	$1,357.19