Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,862.09 / $7,943.28	Facility		$416.87	$1,862.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,258.93 / $7,079.46	Professional		$309.03	$1,258.93	$7,079.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $16,218.10 / $25,703.96	Facility		$5,754.40	$16,218.10	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,230.27 / $1,548.82	Professional		$338.84	$1,230.27	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,288.25 / $2,951.21	Professional		$407.38	$1,288.25	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,949.84 / $3,162.28	Facility		$537.03	$1,949.84	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,380.38 / $2,630.27	Professional		$436.52	$1,380.38	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $9,120.11 / $13,803.84	Facility		$794.33	$9,120.11	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $831.76 / $3,090.30	Professional		$389.05	$831.76	$3,090.30