Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $933.25 / $5,011.87	Facility		$239.88	$933.25	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $363.08 / $831.76	Professional		$162.18	$363.08	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $144.54	Professional		$141.25	$141.25	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,951.21 / $4,897.79	Facility		$630.96	$2,951.21	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $478.63	Professional		$173.78	$229.09	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $602.56	Facility		$281.84	$281.84	$602.56
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	52	$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $676.08	Professional		$190.55	$302.00	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $316.23 / $676.08	Facility		$165.96	$316.23	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $741.31	Professional		$190.55	$346.74	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $5,011.87	Facility		$562.34	$3,467.37	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $707.95	Professional		$190.55	$309.03	$707.95