Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.73 / $5,000.27 / $7,838.38	Facility		$389.73	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.09 / $337.74 / $589.19	Professional		$222.09	$337.74	$589.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.09 / $179.09 / $358.18	Professional		$179.09	$179.09	$358.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,208.62 / $8,098.55 / $13,196.47	Facility		$2,208.62	$8,098.55	$13,196.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.45 / $310.32 / $546.84	Professional		$180.45	$310.32	$546.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.06 / $416.96 / $652.66	Professional		$278.06	$416.96	$652.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $62.98 / $524.85	Professional		$32.34	$62.98	$524.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.10 / $346.95 / $475.03	Facility		$138.10	$346.95	$475.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.19 / $440.18 / $743.70	Professional		$289.19	$440.18	$743.70
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.23 / $566.09 / $840.59	Professional		$395.23	$566.09	$840.59