Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.49 / $515.80 / $7,838.38	Facility		$189.49	$515.80	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $281.20 / $429.31	Professional		$120.49	$281.20	$429.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $174.31 / $174.31	Professional		$174.31	$174.31	$174.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.90 / $3,120.77 / $5,022.75	Facility		$727.90	$3,120.77	$5,022.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $275.95 / $426.12	Professional		$143.47	$275.95	$426.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $202.46 / $749.86	Facility		$202.46	$202.46	$749.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $266.76 / $529.29	Professional		$150.22	$266.76	$529.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.53 / $437.87	Professional		$32.34	$82.53	$437.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.78 / $288.67 / $437.50	Facility		$118.78	$288.67	$437.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.83 / $324.76 / $648.50	Professional		$162.83	$324.76	$648.50
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 $305.80 / $447.70 / $653.66	Professional		$305.80	$447.70	$653.66