Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,754.23 / $7,762.47	Facility		$562.34	$2,754.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,122.02 / $5,248.07	Professional		$346.74	$1,122.02	$5,248.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $10,964.78 / $17,378.01	Facility		$3,090.30	$10,964.78	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $1,412.54	Professional		$398.11	$1,071.52	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,995.26	Professional		$407.38	$676.08	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $1,995.26	Facility		$467.74	$1,258.93	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,778.28	Professional		$407.38	$630.96	$1,778.28
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 $407.38 / $851.14 / $2,089.30	Professional		$407.38	$851.14	$2,089.30