Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.06 / $5,538.26 / $10,313.95	Facility		$770.06	$5,538.26	$10,313.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.20 / $593.12 / $2,497.48	Professional		$544.20	$593.12	$2,497.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.06 / $472.53 / $783.09	Professional		$258.06	$472.53	$783.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,025.15 / $10,475.31 / $16,255.17	Facility		$3,025.15	$10,475.31	$16,255.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.66 / $657.74 / $999.30	Professional		$515.66	$657.74	$999.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.41 / $851.29 / $1,066.59	Professional		$545.41	$851.29	$1,066.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $850.08	Professional		$32.34	$32.34	$850.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $521.52 / $797.58 / $1,740.80	Facility		$521.52	$797.58	$1,740.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $595.16 / $923.51 / $1,337.96	Professional		$595.16	$923.51	$1,337.96
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.34 / $858.00 / $1,280.58	Professional		$603.34	$858.00	$1,280.58