Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.10 / $2,552.08 / $7,838.38	Facility		$1,395.10	$2,552.08	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $93.17 / $93.17 / $336.02	Facility	52	$93.17	$93.17	$336.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $254.47 / $859.28	Professional		$168.36	$254.47	$859.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $165.49 / $165.49	Professional		$165.49	$165.49	$165.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.32 / $2,952.41 / $4,751.77	Facility		$884.32	$2,952.41	$4,751.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $210.17 / $704.76	Professional		$105.74	$210.17	$704.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $297.07 / $1,023.75	Facility		$297.07	$297.07	$1,023.75
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $313.73 / $997.22	Professional		$204.84	$313.73	$997.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $161.97 / $846.83	Professional		$32.34	$161.97	$846.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $262.14 / $735.18	Facility		$172.80	$262.14	$735.18
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.74 / $412.80 / $1,327.38	Professional		$217.74	$412.80	$1,327.38
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.91 / $605.94 / $1,181.58	Professional		$230.91	$605.94	$1,181.58