Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.33 / $982.50 / $7,838.38	Facility		$304.33	$982.50	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $244.28 / $444.24	Professional		$172.97	$244.28	$444.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $261.02 / $267.56	Professional		$92.06	$261.02	$267.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.97 / $1,929.48 / $3,146.72	Facility		$782.97	$1,929.48	$3,146.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $229.24 / $375.55	Professional		$106.45	$229.24	$375.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.09 / $226.09 / $325.50	Facility		$226.09	$226.09	$325.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.23 / $322.63 / $479.86	Professional		$214.23	$322.63	$479.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $79.12 / $429.13	Professional		$32.34	$79.12	$429.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.83 / $230.37 / $340.82	Facility		$148.83	$230.37	$340.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.79 / $352.17 / $608.90	Professional		$225.79	$352.17	$608.90
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,516.00 / $2,655.00	Facility		$525.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.49 / $376.04 / $596.27	Professional		$272.49	$376.04	$596.27