Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,995.26 / $8,912.51	Facility		$416.87	$1,995.26	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,479.11 / $2,398.83	Professional		$316.23	$1,479.11	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $25,703.96 / $43,651.58	Facility		$10,471.29	$25,703.96	$43,651.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,318.26 / $1,905.46	Professional		$354.81	$1,318.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $2,398.83	Professional		$354.81	$562.34	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,819.70	Professional		$32.36	$33.11	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,122.02 / $5,370.32	Facility		$467.74	$1,122.02	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $2,344.23	Professional		$346.74	$562.34	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $24,547.09	Facility		$1,023.29	$15,135.61	$24,547.09
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $2,630.27	Professional		$398.11	$691.83	$2,630.27