Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $7,762.47	Facility		$707.95	$1,096.48	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,230.27	Professional		$446.68	$660.69	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $11,220.18 / $17,782.79	Facility		$3,162.28	$11,220.18	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,000.00	Professional		$562.34	$660.69	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,995.26	Professional		$524.81	$870.96	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $1,230.27	Facility		$537.03	$812.83	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,412.54	Professional		$537.03	$912.01	$1,412.54
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 $630.96 / $891.25 / $1,348.96	Professional		$630.96	$891.25	$1,348.96