Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $164.21 / $243.78	Professional		$152.13	$164.21	$243.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $74.23 / $74.23	Professional		$74.23	$74.23	$74.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $962.76 / $3,325.10 / $5,351.60	Facility		$962.76	$3,325.10	$5,351.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $188.77 / $293.58	Professional		$152.76	$188.77	$293.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $178.03 / $1,023.75	Facility		$178.03	$178.03	$1,023.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $253.82 / $328.60	Professional		$180.25	$253.82	$328.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $243.03	Professional		$32.34	$32.34	$243.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.10 / $206.61 / $283.86	Facility		$149.10	$206.61	$283.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.60 / $272.85 / $412.96	Professional		$182.60	$272.85	$412.96
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 $173.18 / $251.35 / $333.61	Professional		$173.18	$251.35	$333.61