Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,981.07 / $9,120.11	Facility		$1,412.54	$3,981.07	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $4,570.88	Professional		$891.25	$1,318.26	$4,570.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $954.99 / $1,023.29	Professional		$138.04	$954.99	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $17,378.01 / $27,542.29	Facility		$4,897.79	$17,378.01	$27,542.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,949.84	Professional		$1,000.00	$1,288.25	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $3,548.13	Professional		$912.01	$1,548.82	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,187.76	Facility		$1,023.29	$1,479.11	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,454.71	Professional		$1,047.13	$1,584.89	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $31,622.78	Facility		$1,023.29	$15,135.61	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,089.30	Professional		$1,122.02	$1,513.56	$2,089.30