Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $8,709.64	Facility		$758.58	$1,819.70	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	50	$3,019.95	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,318.26	Professional		$426.58	$537.03	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $489.78	Professional		$257.04	$426.58	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,715.19 / $16,982.44	Facility		$4,365.16	$10,715.19	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $954.99	Professional		$436.52	$616.60	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,778.28	Professional		$426.58	$707.95	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $1,047.13	Facility		$489.78	$645.65	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,202.26	Professional		$489.78	$758.58	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $7,762.47 / $13,803.84	Facility		$794.33	$7,762.47	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,000.00	Professional		$512.86	$707.95	$1,000.00