Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,548.82 / $8,709.64	Facility		$676.08	$1,548.82	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $1,862.09	Professional		$426.58	$478.63	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $10,000.00	Facility		$2,570.40	$6,309.57	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $891.25	Professional		$446.68	$575.44	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,584.89	Professional		$407.38	$724.44	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $1,174.90	Facility		$446.68	$724.44	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,096.48	Professional		$467.74	$724.44	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,365.16 / $12,589.25	Facility		$562.34	$4,365.16	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,174.90	Professional		$575.44	$794.33	$1,174.90