Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $8,709.64	Facility		$1,047.13	$2,089.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,288.25	Professional		$575.44	$724.44	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,232.93 / $15,848.93	Facility		$3,801.89	$10,232.93	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,288.25	Professional		$630.96	$851.14	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $2,454.71	Professional		$562.34	$954.99	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,380.38	Facility		$691.83	$912.01	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,659.59	Professional		$645.65	$1,023.29	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $9,120.11 / $14,125.38	Facility		$794.33	$9,120.11	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,348.96	Professional		$691.83	$954.99	$1,348.96