Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,095.00 / $4,235.47 / $6,331.27	Facility		$2,095.00	$4,235.47	$6,331.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.79 / $562.40 / $780.28	Professional		$173.79	$562.40	$780.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $162.54 / $266.32	Professional		$146.29	$162.54	$266.32
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 $168.03 / $208.03 / $316.05	Professional		$168.03	$208.03	$316.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.59 / $744.34 / $1,039.71	Professional		$185.59	$744.34	$1,039.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $269.31	Professional		$32.34	$32.34	$269.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.22 / $842.48 / $1,999.20	Facility		$165.22	$842.48	$1,999.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.72 / $444.57 / $1,039.71	Professional		$200.72	$444.57	$1,039.71
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $409.04 / $1,130.23	Professional		$227.25	$409.04	$1,130.23