Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.62 / $5,000.27 / $7,838.38	Facility		$708.62	$5,000.27	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $106.93 / $106.93 / $354.31	Facility	52	$106.93	$106.93	$354.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $290.85 / $989.38	Professional		$199.54	$290.85	$989.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $187.45 / $187.45	Professional		$187.45	$187.45	$187.45
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 $157.47 / $262.45 / $770.03	Professional		$157.47	$262.45	$770.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $336.48 / $1,023.75	Facility		$336.48	$336.48	$1,023.75
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.05 / $426.62 / $1,067.27	Professional		$234.05	$426.62	$1,067.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $170.89 / $892.03	Professional		$32.34	$170.89	$892.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.56 / $383.05 / $833.36	Facility		$197.56	$383.05	$833.36
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.19 / $522.42 / $1,397.69	Professional		$263.19	$522.42	$1,397.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $3,085.00 / $5,060.00	Facility		$2,084.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.73 / $674.51 / $1,315.29	Professional		$356.73	$674.51	$1,315.29