Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $8,709.64	Facility		$758.58	$1,148.15	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,348.96	Professional		$457.09	$630.96	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $489.78	Professional		$245.47	$245.47	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $10,964.78	Facility		$2,187.76	$6,918.31	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,047.13	Professional		$588.84	$776.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,995.26	Professional		$512.86	$831.76	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $1,174.90	Facility		$436.52	$724.44	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,348.96	Professional		$549.54	$851.14	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $12,589.25	Facility		$645.65	$6,606.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,202.26	Professional		$562.34	$812.83	$1,202.26