Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.03 / $7,838.38 / $8,763.29	Facility		$826.03	$7,838.38	$8,763.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.46 / $119.46 / $413.02	Facility	52	$119.46	$119.46	$413.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $662.39 / $1,095.81	Professional		$218.52	$662.39	$1,095.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.23 / $210.23 / $245.77	Professional		$210.23	$210.23	$245.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,409.46 / $5,013.45 / $45,000.00	Facility		$1,409.46	$5,013.45	$45,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.02 / $664.27 / $1,022.71	Professional		$267.02	$664.27	$1,022.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.53 / $377.53 / $1,359.12	Facility		$377.53	$377.53	$1,359.12
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.25 / $447.98 / $1,242.99	Professional		$270.25	$447.98	$1,242.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $597.05 / $1,038.47	Professional		$32.34	$597.05	$1,038.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.52 / $576.03 / $1,054.58	Facility		$211.52	$576.03	$1,054.58
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.45 / $680.67 / $1,578.33	Professional		$272.45	$680.67	$1,578.33
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 $752.95 / $1,069.10 / $1,485.54	Professional		$752.95	$1,069.10	$1,485.54