Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.52 / $7,838.38 / $8,763.29	Facility		$844.52	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.77 / $604.02 / $1,462.47	Professional		$528.77	$604.02	$1,462.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.04 / $503.16 / $573.42	Professional		$258.04	$503.16	$573.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,771.37 / $17,091.71 / $26,522.24	Facility		$4,771.37	$17,091.71	$26,522.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.09 / $720.66 / $1,087.30	Professional		$587.09	$720.66	$1,087.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.83 / $882.80 / $1,158.35	Professional		$608.83	$882.80	$1,158.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $930.16	Professional		$32.34	$32.34	$930.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.65 / $814.01 / $1,717.00	Facility		$570.65	$814.01	$1,717.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $621.11 / $943.69 / $1,464.12	Professional		$621.11	$943.69	$1,464.12
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 $698.11 / $917.28 / $1,273.78	Professional		$698.11	$917.28	$1,273.78