Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.25 / $1,219.54 / $2,704.23	Professional		$1,065.25	$1,219.54	$2,704.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,117.64 / $1,117.64 / $1,117.64	Professional		$1,117.64	$1,117.64	$1,117.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,060.30 / $1,421.48 / $2,159.65	Professional		$1,060.30	$1,421.48	$2,159.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.93 / $1,726.38 / $2,183.52	Professional		$1,157.93	$1,726.38	$2,183.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,837.45	Professional		$32.34	$32.34	$1,837.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,127.27 / $1,465.11 / $2,720.00	Facility		$1,127.27	$1,465.11	$2,720.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,176.95 / $1,794.78 / $2,868.48	Professional		$1,176.95	$1,794.78	$2,868.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,264.11 / $1,709.11 / $2,751.56	Professional		$1,264.11	$1,709.11	$2,751.56